Hypertension (HT) is an important risk factor for heart failure (HF). The prevalence of HT among the HF population is higher in Asia than in other regions around the world. In Asia, HT is the most common cause of HF after ischemic heart disease. Hypertensive HF (HHF) results from structural and functional adaptations of the heart, which lead to left ventricular (LV) hypertrophy (LVH). Hypertensive LVH can cause ventricular diastolic dysfunction and becomes a risk factor for myocardial infarction, which is a well-known cause of LV systolic dysfunction. Asymptomatic systolic and diastolic LV dysfunction easily progress to clinically overt HF with other precipitating factors. Although the precise pathophysiology of HHF is still unclear, we have known that HHF can be reversed by effective control of blood pressure (BP). Thus, HT control is essential not only for primary prevention but also for the secondary prevention of HF. Here, we reviewed the epidemiology, pathophysiology, outcome, and implication of BP management in HHF patients, especially in the Asian population.
Pulse

中文翻译：

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亚洲高血压心力衰竭

高血压（HT）是心力衰竭（HF）的重要危险因素。亚洲 HF 人群中 HT 的患病率高于世界其他地区。在亚洲，HT 是继缺血性心脏病后最常见的心衰原因。高血压 HF (HHF) 是由心脏的结构和功能适应导致的，这会导致左心室 (LV) 肥大 (LVH)。高血压 LV​​H 可引起心室舒张功能障碍并成为心肌梗死的危险因素，这是众所周知的 LV 收缩功能障碍的原因。无症状的收缩期和舒张期 LV 功能障碍很容易在其他促发因素的情况下进展为临床上明显的 HF。尽管 HHF 的确切病理生理学仍不清楚，但我们已经知道 HHF 可以通过有效控制血压 (BP) 来逆转。因此，HT 控制不仅对于 HF 的一级预防而且对于 HF 的二级预防都是必不可少的。在这里，我们回顾了 HHF 患者，尤其是亚洲人群中血压管理的流行病学、病理生理学、结果和意义。
脉冲