Why does chronic hypertension increase the likelihood of left ventricular hypertrophy even when treated with vasodilators to lower blood pressure?

💡 Explanation

Even with vasodilation reducing blood pressure, the heart still works against increased peripheral resistance caused by structural changes in blood vessels. The left ventricle continues to pump against chronically elevated afterload, which leads to hypertrophy, because the vasodilator addresses only the symptom, rather than the underlying vascular remodeling; therefore, ventricular remodeling persists.

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