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Why is hypertension a risk factor for heart failure?

High blood pressure forces the heart to work harder to pump blood to the rest of the body. This causes the lower left heart chamber (left ventricle) to thicken. A thickened left ventricle increases the risk of heart attack, heart failure and sudden cardiac death.

Does hypertension increases the risk of myocardial infarction and stroke?

Hypertension increases the risk of stroke by sevenfold more than general population, and strict blood pressure control can decrease the risk of recurrent stroke by one third [5–7].
Hypertension increases the workload on the heart inducing structural and functional changes in the myocardium. These changes include hypertrophy of the left ventricle, which can progress to heart failure.

Is hypertension associated with myocardial infarction?

At least 30% of adults have a history of hypertension in developed countries,2,3 and hypertension is independently associated with adverse cardiac outcome after acute myocardial infarction (MI).