Decapitated hypertension is defined as a drop in blood pressure in decompensated left heart failure (Herold 2022). Autoptically, a dilated hypertensive heart is found (Zollinger 1966).
Decapitated hypertension
DefinitionThis section has been translated automatically.
EtiologyThis section has been translated automatically.
Beheaded hypertension may occur in the setting of the following conditions:
- decompensated left heart failure (Herold 2022)
PathophysiologyThis section has been translated automatically.
In hypertensive cardiomyopathy, diastolic dysfunction initially develops. In the further course, this changes into systolic dysfunction with insufficiency of the left ventricle (Lichtenegger 2018).
In the final stage of a hypertensive disease, the heart is no longer able to provide the required ejection output. As a result, blood pressure drops and the condition is referred to as "decapitated hypertension" (Theis 2001).
LiteratureThis section has been translated automatically.
- Herold G et al (2022) Internal medicine. Herold Publishers 301
- Lichtenegger S (2018) Effects of vitamin D supplementation on nocturnal blood pressure in hypertensive patients. Diploma thesis for the degree of Doctor of All Medicine (Dr. med. univ.) at the Medical University of Graz carried out at the Clinical Department of Endocrinology and Diabetology, University Hospital of Internal Medicine Graz.
- Theis D (2001) Structural changes of the rat heart in chronic hypertension and their influence by the ACE inhibitor ramipril. Inaugural dissertation for the degree of Doctor of Medicine of the Department of Human Medicine, Justus Liebig University Giessen.
- Zollinger H U, Doerr W, Uehlinger E (1966) Kidney and draining urinary tract. Springer Verlag Berlin / Heidelberg / New York 345