This is closely related to atherosclerosis, as mentioned above. A plaque or rupture in a coronary vessel results in a significant reduction of blood supply to a critical portion of the myocardium.
Although not causing the condition directly, essential hypertension could be a significant contributing factor to the condition. Hypertension in such patients is also associated with elevated catecholamine levels, which in turn are caused by anxiety, pain, or other medical factors.
In addition to treatments for essential hypertension, Garas (2010) suggests that the condition can be treated by means of restoring the myocardial perfusion either by medical means or by surgery. Surgery might be administered either by percutaneous coronary intervention or coronary artery bypass grafting. Other suggested treatments include the restoration of balance between oxygen supply and demand to the myocardium; pain relief, or prevention and treatment measures for complications. Survival rates are reported to increase with Thrombolytic therapy, or with aspirin/antiplatelet treatment.
In conclusion, the treatment of essential hypertension as the main condition could also lead to a diminished danger from resulting health complications. The Handbook of Ocular Disease Management for example suggests four main methods of treating essential hypertension. The first of these is Diuretics, where the blood volume is reduced by inhibiting sodium and water retention. This is generally accomplished by means of both medication and lifestyle choice — patients are required to follow a low-sodium diet.
Another medical intervention is the prescription of beta blockers, by means of which the cardiac output is decreased and hence relieves the likelihood of cardiovascular trauma such as heart attacks.
Thirdly, calcium antagonists induces vasodilatation, which mitigates arterial conditions associated with hypertension, and finally ACE inhibitors decrease peripheral vascular resistance. In general, it is important to help patients with essential hypertension to understand the risks involved in certain lifestyle choices that could exacerbate their condition.
Alexander, R.W. (1995). Hypertension and the Pathogenesis of Atherosclerosis. Hypertension. Vol. 25. Retrieved from http://hyper.ahajournals.org/cgi/content/full/25/2/155#SEC6
Carretero, O.A. And Oparil, S. (2000). Essential Hypertension. Circulation. Retrieved from http://circ.ahajournals.org/cgi/content/full/circulationaha;101/3/329
Fenton, D.E. (2010, May 18). Myocardial Infarction. Emedicine. Retrieved from http://emedicine.medscape.com/article/759321-overview
Garas, S. (2010, Jan 22). Myocardial Infarction: Treatment & Medication. Emedicine. http://emedicine.medscape.com/article/155919-treatment
Handbook of Ocular Disease Management. Hypertension. Retrieved from http://cms.revoptom.com/handbook/SECT61a.htm
Lew, W.K. (2008, Sep 17). Renal Artery Aneurysm. Emedicine. Retrieved from http://emedicine.medscape.com/article/463015-overview
MedicineNet.com. (2010). High Blood Pressure. Retrieved from http://www.medicinenet.com/high_blood_pressure/page4.htm
Narkiewicz, K. (2006). Obesity and hypertension — the issue is more complex than we thought. Nephrology Dialysis Transplantation. Vol. 21, Iss. 2. Retrieved from http://ndt.oxfordjournals.org/cgi/content/full/21/2/264
Reaven, G. (2003). Insulin Resistance, Essential Hypertension, and Coronary Heart Disease. WebMD. Retrieved from http://www.medscape.com/viewarticle/460069_2
Vikrant, S. And Tiwari, S.C. (2001, Jul.-Sep.). Essential Hypertension — Pathogenesis and Pathophysiology. Journal, Indian Academy of Clinical Medicine, Vol. 2, No. 3. Retrieved from http://medind.nic.in/jac/t01/i3/jact01i3p140.pdf.