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Compensated vs Decompensated Hypertension

bnm · 2009-10-25 11:33:00

Hey, I'm having problems finding information about the pathological changes in compensated vs decompensated htn. Compensated refers to LVH, I think? But decompensated? Could someone explain? Cheers!!:D

25-10-2009 11:33am

#1

bnm

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Join Date: May 2009

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Hey, I'm having problems finding information about the pathological changes in compensated vs decompensated htn. Compensated refers to LVH, I think? But decompensated? Could someone explain? Cheers!!:D

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Comments

#2 26-10-2009 12:33pm

tallaght01

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The hypertension itself isn't usually what they refer to when they talk about compensated or uncompensated disease. It's usually heart disease. Most commonly heart failure.

It's all very complex, and the explanation depends on how much detail you want. If you're a med student, an appreciation of starling forces, re-modelling and the chemical mediators involved would be essential.

Essentially compensation refers to the element of the disease where the functions of the heart are maintained through compensatory mechanisms, like LVH. Decompensation refers to the stage of the disease where those adjustments no longer preserve cardiac function.

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