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Dr. Muneeb Ali
Dr. Muneeb Ali, Intensivist
Category: Medical
Satisfied Customers: 3164
Experience:  MBBS, MD, MCCM.Currently working in Critical Care Medicine with 10 year experience in Medicine
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Is hypertension a risk facto in cirrhosis and liver disease?

Customer Question

is hypertension a risk facto in cirrhosis and liver disease? is it because the liver does not get enough perfusion?
Submitted: 6 months ago.
Category: Medical
Expert:  Dr. Muneeb Ali replied 6 months ago.

Hi,

Well Arterial Hypertension by itself is not a risk factor for developing cirrhosis, the hypertension which occurs in cirrhosis is PORTAL hypertension in which there is increased pressure inside the vessels of the liver. Infact it has been found that hypertension (arterial) is much lower in patients with cirrhosis because of the presence of many vasodilatory substances in the body because of the liver failure.

Yes Arterial hypertension can damage the liver, but that usually occurs with malignant hypertension which is a condition in which there is MARKEDLY elevated blood pressure which starts to damage the end organs. This is because of damage of the blood vessels because of the unregulated high blood pressure leading to impaired perfusion of the organs including the liver.

But essential hypertension by itself doesnt increase the risk of cirrhosis.

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Expert:  Dr. Muneeb Ali replied 6 months ago.

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