What is it?

Hypertensive heart and chronic kidney disease, without heart failure and with chronic kidney disease stage I through stage IV.Hypertensive heart disease refers to heart conditions caused by high blood pressure. These conditions may include thickening of the heart muscle and coronary heart disease which may lead to ischemic heart disease, heart attack, sudden cardiac death, stroke and arrhythmia. People with increased risk for hypertnsive heart disease are those who are overweight, do not exercise, smoke and have a diet rich in cholesterol and fat. Furthermore, men tend to have it mokre, as well postmenopausal women. When having a heart disease, the heart does not transfer enough blood to the kidneys. The oxygen supply to the kidney is reduced and it can lead to kidney disease High blood pressure is a leading cause of CKD. Over time, high blood pressure can damage blood vessels throughout your body. This can reduce the blood supply to important organs like the kidneys. High blood pressure also damages the tiny filtering units in your kidneys. As a result, the kidneys may stop removing wastes and extra fluid from your blood. The extra fluid in your blood vessels may build up and raise blood pressure even more. Also,. High blood pressure can be a complication of CKD. Your kidneys play a key role in keeping your blood pressure in a healthy range. Diseased kidneys are less able to help regulate blood pressure. As a result, blood pressure increases. . A chronic kidney disease means the kidneys have been injured (in this case by high blood pressure) and they are less able to perform its tasks. There are five stages of kidney disease, based on glomerular filtration rate (GFR) which stands for the presence of kidney damage.

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Hypertensive Heart & Renal Disease.

Additional names

This group contains additional names:
- Malignant Hypertensive Heart and CKD without Heart Failure and with CKD Stage V or ESRD
- Malignant Hypertensive Heart and CKD with Heart Failure and with CKD Stage V or ESRD
- Malignant Hypertensive Heart and CKD with Heart Failure and with CKD Stage I-IV
- Hypertensive heart and kidney disease
- Malignant hypertensive heart and chronic renal disease with congestive heart failure

Signs & symptoms

Symptoms of hypertensive heart disease may include chest pain, shortness of breath, fatigue, neck and back pain, persistent cough, loss of appetite and leg swelling. CKD symptoms may include weight loss, poor appetite, swollen ankles, feet or hands, fatigue, blood in the urine, difficulty sleeping and itchy skin.


Diagnosis of hypertensive heart disease may include medical history, physical examination, lab exams, ECG, Echocardiogram, coronary angiography, exercise or nuclear stress test. Tests for kidney disease may include a blood test looking for glomerular filtration rate by measuring creatinine levels and urine test that checks for albumin levels- albumin is a protein that can pass into the urine when the kidneys are damaged.


Treating hypertensive heart disease may include medication such as nitrates, statins, calcium channel blockers, ACE inhibitors, aspirin, diuretics. In more severe cases, a pacemaker may be implanted, as well as cardioverter-defibrillators. In case the coronary arteries are blocked, coronary artery bypass graft surgery (CABG) may be performed. Treatment for kidney failure depends on the stage of the disease. In stages 1-2 a diet that is low in sodium and sugar is recommended. Then, medications such as ACE and ARB have shown to protect the kidney function and lower the risk for heart disease.

☝️ This is not a substitute for professional medical advice. Please consult with your physician before making any medical decision.

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