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The heart is one of the major organs directly affected by hypertension as part of the so called “Hypertension mediated organ damage”. It leads to structural changes such as left ventricular hypertrophy and arrhythmias such as atrial fibrillaton and increases the risk for atherosclerotic cardiovascular disease. This group of articles focuses on the direct effects of hypertension on the heart and the pathogenesis and management of these effects.