Secondary Hypertension

 

According to Wikipedia, "While most forms of hypertension have no known underlying cause (and are thus known as 'essential hypertension' or 'primary hypertension'), in about 10% of the cases, there is a known cause, and thus the hypertension is secondary hypertension (or, less commonly, inessential hypertension)."

Most people (90-95%) who develop high blood pressure or hypertension have "essential hypertension." Their blood pressure is the problem, and there is no definable underlying cause.

The treatment for essential hypertension consists of lifestyle adjustments and one or more of many medications that lower blood pressure. High blood pressure is a lifelong problem. There is no known cure, and there is no one established cause. High blood pressure, if treated successfully, is not fatal. It is simply a problem that requires ongoing treatment, and those who suffer from essential hypertension ordinarily live long and productive lives provided they make the recommended lifestyle changes (diet, exercise, low salt, etc.) and take their prescribed medications as directed. There will be periodic lab tests to determine the level of the medications in the system.

For the 5-10% of those who have high blood pressure with a known cause ("secondary hypertension"), the treatment may be much the same except that the underlying cause for the hypertension is also treated. Some of the underlying causes for secondary hypertension are:

* Diabetic nephropathy
* Polycystic kidney disease
* Glomerular disease
* Hydronephrosis
* Renovascular hypertension
* Cushing's syndrome
* Aldosteronism
* Pheochromocytoma
* Hypothyroidism
* Hyperthyroidism
* Hyperparathyroidism
* Coarctation of the aorta
* Sleep apnea
* Obesity
* Medications and supplements

Your doctor might run tests to eliminate them as causes for your high blood pressure, but mostly these causes have present symptoms other than an elevated blood pressure reading.

 

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hypertension     high blood pressure