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For patients with hypertension who have normal filling pressures following right cardiac catheterization, can hypertension still be attributed to volume overload?

2 Answers
Mednet Member
Mednet Member
Cardiology · John Hopkins Medicine

I do not think of chronic hypertension as a disease of volume overload. Loop diuretics are indeed very poor antihypertensive agents. I agree that cardiac loading conditions are dynamic, but in a patient with normal filling pressures and hypertension, I would think of inappropriately increased periph...

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Mednet Member
Mednet Member
Cardiology · Kaiser Permanente Baldwin Park Medical Center

Yes. Diastolic pressures are dynamic and fluctuate quickly with the dynamic changes in daily blood pressure and salt load especially in patients with diastolic dysfunction myocardial mechanics.

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For patients with hypertension who have normal filling pressures following right cardiac catheterization, can hypertension still be attributed to volume overload? | Mednet