Systemic (Left-Sided) Hypertensive Heart Disease

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What is the consequence of the increased demands placed on the heart by hypertension?

Necrotizing arteriolitis

Berry aneurysm rupture

Ventricular hypertrophy (correct)

Intracerebral hemorrhage

What is a typical characteristic of hyperplastic arteriolosclerosis seen in severe hypertension?

Thickened, reduplicated basement membrane

Onion skin appearance of vessels (correct)

Vascular wall necrosis

Fibrinoid deposits in arterioles

What can be attributed to inadequate management of hypertension according to the data provided?

Hyperplastic arteriolosclerosis

Subarachnoid hemorrhage

Pathological changes in nephrons

62% of cerebrovascular disease and 49% of ischaemic heart disease (correct)

What vascular disorder is associated with hypertension and involves the rupture of berry aneurysms?

Subarachnoid hemorrhage Signup and view all the answers

What is the consequence of persistent hypertension that can culminate in CHF and even sudden death?

Cardiac dilation Signup and view all the answers

In hypertensive heart disease, what adaptive response occurs to pressure overload?

Remodeling with added sarcomeres in parallel Signup and view all the answers

What is the pathophysiological cause of Renal disease, which is the commonest cause of secondary hypertension?

Increased activity of the renin-angiotensin system Signup and view all the answers

Which condition is associated with homogeneous, pink hyaline thickening of arteriolar walls and luminal narrowing?

Hyaline arteriolosclerosis Signup and view all the answers

What structural change is observed in muscular arteries in response to hypertension?

Smooth muscle hyperplasia Signup and view all the answers

What is the consequence of arteriolar narrowing caused by hyaline arteriosclerosis in the kidneys?

Glomerular scarring Signup and view all the answers

Which lesion occurs selectively in response to hypertension and involves collagen deposition and smooth muscle hyperplasia?

Hyaline arteriolosclerosis Signup and view all the answers

What effect does hypertension have on atherosclerosis development in large arterial blood vessels?

Accelerates its development Signup and view all the answers

What is the main cause of left atrial dilation in systemic hypertensive heart disease?

Stiffening of the left ventricle Signup and view all the answers

What is the typical heart weight in an individual with systemic hypertensive heart disease?

Above 500 g Signup and view all the answers

What is the normal range for left ventricular wall thickness in an individual without left ventricular hypertrophy?

1.2 to 1.4 cm Signup and view all the answers

Which condition is characterized by marked dilation and hypertrophy of the right ventricle with thickened free wall?

Chronic cor pulmonale Signup and view all the answers

What effect does increased left ventricular wall thickness have on diastolic filling in hypertensive heart disease?

Impairs diastolic filling Signup and view all the answers

In long-standing systemic hypertensive heart disease, what happens to the hypertrophic left ventricle?

It typically becomes dilated Signup and view all the answers