Biography
Biography: Deepika Narasimha
Abstract
Hypertension is a major risk factor for cardiovascular morbidity and mortality. The risk for coronary artery disease is doubled, and the risk for congestive heart failure and stroke is tripled in patients with hypertension. In addition to this, hypertensive heart disease itself encompasses a very wide range of disorders including left ventricular hypertrophy, systolic and diastolic dysfunction which can down the line lead to symptomatic heart failure and precipitate arrhythmias. There are several structural and functional changes in hypertensive heart disease which first lead to concentric left ventricular hypertrophy which if left untreated leads to dilated cardiomyopathy or the ‘burned-out’ left ventricle. Cardiac complications from hypertension cause significant morbidity and mortality and also influence the choice of appropriate therapy and diagnostic tests. My talk will focus on the clinical manifestations and natural history of hypertensive heart disease as well as the various diagnostic and therapeutic modalities available to diagnose and treat the same. In addition to these we will also discuss some of the common cardiovascular co-morbidities associated with hypertension including atrial fibrillation, coronary artery disease and concomitant aortic stenosis with hypertension.