Hypertensive heart failure can cause wholeheartedly?

Gradually extended upward and ascites can arise pleural fluid, urine volume reduction; Due to gastrointestinal bleeding can cause abdominal distension, anorexia, nausea, vomiting, diarrhea and other symptoms. At this point medical examination clearly visible skin and mucous cyanosis, the jugular vein engorgement, the lower chest was real spontaneous delivery of voice Heart sector on both sides to expand bilateral lungs moist rales than left ventricular failure period was reduced, but the heart rate increase, up to 100 times / hours over the first apex low heart sounds weak, and could be heard diastolic Benma various legal and arrhythmia, hepatomegaly, there will be lower extremity pitting edema and left heart failure with pulmonary bleeding of the signs. Supplementary examination : blood can be due to chronic diseases decreased hemoglobin, can also arise from a lung infection increased the total number of leukocytes. Conventional urine can be mild proteinuria, or a small transparent tube-type particles and a small amount of red blood cells, which are mild azotemia. Can check the liver ALT and bilirubin higher quality. Cardiac X-ray examination heart to affect both sides to expand, superior vena cava shadow widened, a curved chest high density video (Hint pleural effusion); diaphragmatic elevation (Hint ascites); heart failure developed lung bleeding. ECG can be a ventricular hypertrophy and fatigue. Echocardiographic examination early diastolic dysfunction, the gradual emergence of left ventricular septal and posterior wall thickness, ventricular enlargement, cardiac dysfunction and heart failure, and other characteristics change ejection coefficient is lower.