Saturday, January 29, 2011

What is Hypertensive Heart Disease?

In 1997, Mom had to undergo a cataract operation but before it proceeded, she had to get a clearance from a cardiologist. After a thorough check up by her physician, Dr. Anthony Leachon, he found out that Mom had Hypertensive Heart Disease and Type II Diabetes Mellitus.

We had no idea that she already had a heart ailment that time because she did not feel or show any symptom.  We did not know that her blood pressure was hitting 220/110 mmHg already. Her operation was a blessing in disguise. If not by it, she would not have gone to a doctor.

According to medical specialists, hypertensive heart disease pertains to heart problems that occur because of high blood pressure like coronary artery disease or chronic heart failure. These are complications that arise from arterial hypertension that affects the heart. Symptoms may vary from feeling of fatigue or weakness, irregular pulse, swelling of feet or bloating, weight gain, shortness of breath, more frequent urination at night and enlargement of the heart.

After, a month or two of treatment, her heart condition improved and her diabetes was controlled so her doctor gave a clearance for her operation. However, after her operation, she did not come back to her cardiologist for check up. For one, she felt she was cured and second, Dr. Leachon’s clinic was too far from where we live.

Perhaps, because we were not able to monitor her condition, by 2002, the disease recurred. She started to feel chest pain and frequent urination especially at night. She went to a nearby hospital for check up. Her heart was not that bad but her diabetes was shooting up to more than 200 mg/dl, which was way above from the normal: 80-120 mg/dl.

Her doctor gave her Imidapril Hydrochloride for her hypertension and Metformin Hydrochloride and Glibenclamide to control her diabetes.

From then on, Mom had been under medical treatment. Her doctors had prescribed different types of medicine. Mom had been complaining about headache and chest pain associated with high blood pressure, and weakness. Recently, she went to an internist, Dr Jonathan Latonio. Her ECG showed signs of heart enlargement. Her doctor has prescribed candesartan, ameodarone, carvedilol, clopidogrel, isosorbide mononitrate and clonidine sublingually as needed.  The doctor retained metformin to control her diabetes.

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