The Challenges of Arterial Hypertension

Frontiers in Cardiovascular Medicine

Gian Paolo Rossi¹ 

关键词: aldosterone;    hyperaldosteronism;    heart damage;    cardiac dysfunction;   

DOI  :  10.3389/fcvm.2015.00002

学科分类：心脏病和心血管学

来源: Frontiers

【 摘 要 】

The blood pressure (BP) is the force generated by the heart that drives circulation of the blood. After Scipione Riva-Rocci first introduced the sphygmomanometer at the beginning of last century, for decades arterial hypertension (hypertension) was considered to be “essential” for securing the perfusion of vital organs, as the brain, heart, and kidney. The term “essentielle hypertonie,” coined by the German clinicians, was indeed meant to underline the fact that BP, alongside the heart beat, is the essence of life, as there can be no life without BP. This led to contend that the higher the BP values, the better for vital organs perfusion, a view testified by Paul Dudley White’s, one of the top cardiologists of the last century, statement: “Hypertension may be an important compensatory mechanism, which should not be tampered with, even were it certain we could control it.”.

【 授权许可】

CC BY