H ypertension high blood pressure bp is a primary modifiable risk factor for the development of coronary heart disease, heart failure, cerebrovascular disease, peripheral vascular disease and renal disease. Essential hypertension eh is characterized by chronic elevation of blood. In older patients, primary aldosteronism, obstructive sleep apnoea and renal artery stenosis are more prevalent than previously thought. In young patients, renal causes glomerulonephritis and coarctation of the aorta should be considered. Lifestyle and risk of hypertension international journal. Secondary hypertension in adults pubmed central pmc. There is a strong positive and continuous correlation between bp and the risk of cvd stroke, myocardial infarction, heart failure, renal disease, and mortality, even in the normotensive range. Risk factors, pathophysiology and management of hypertension. Secondary hypertension occurs in a significant proportion of adult patients 10%. Relationship between interarm blood pressure differences and future cardiovascular events in coronary artery disease. Primary prevention of hypertension provides an opportunity to interrupt and prevent the continuing costly cycle of managing hypertension and its complications. Unlike primary essential hypertension, secondary hypertension is curable simply by resolving the underlying medical causes. June editors pick 2020 international society of hypertension global hypertension practice guidelines june editors pick reninangiotensin system blockers and the covid19 pandemic. More than 90% of individuals with hypertension have essential hypertension.
Essential hypertension refers to a lasting increase in blood pressure with. Hypertension is the single biggest contributor to the global burden of disease, and is the most common chronic medical condition presenting to primary care physicians in singapore. While the majority of patients have essential hypertension that does not have an identifiable cause, it is important to recognise secondary causes of hypertension table i, as they may be curable. Hence, on a similar dietary salt, some individuals develop hypertension while others do not. The primary objective of this study was to ex amine a young prehypertensive population and to determine whether healthy lifestyle affects the. Bp is a quantitative trait that is highly variable 1. This article has been saved into your user account, in the favorites area, under the new folder.
Primary essential hypertension accounts for the vast majority. Essential, primary, or idiopathic hypertension is defined as high bp in which secondary causes such as renovascular disease, renal failure, pheochromocytoma, aldosteronism, or other causes of secondary hypertension or mendelian forms monogenic are not present. Essential hypertension remains a major modifiable risk factor for cardiovascular disease cvd despite impor. Essential hypertension, a rise in blood pressure of undetermined cause, includes 90% of all hypertensive cases and is a highly important public health challenge that remains, however, a major modifiable cause of morbidity and mortality. Genetic factor may play an important role in the development of essential hypertension. A half yearly scientific international online journal for drugs and medicines. Journal for drugs and medicines october 2011april2012. When hypertension is caused by another condition or disease process, it is called.
Manual exertion reduces ldlc, which can prevents atherosclerosis, a. Undiagnosed hypertension among young adults with regular primary care use. International journal of pharma sciences and scientific research. At present there is no evidence to abandon reninangiotensin system blockers. Pharmacologypharmacy practice hypertension siyad a r hypertension 116, 4664, or high blood pressure, is a very common and. In conjunction with this primary causal factor, a number of adjunctive factors, such as obesity, diabetes, aging, emotional stress, sedentary life style, and low potassium intake, may increase the probability of developing hypertension 10, 12.
Peripheral edema associated with calcium channel blockers. This form of hypertension cannot be cured, but it can be controlled. This is a pdf file of an unedited manuscript that has been. Essential hypertension is a heterogeneous disorder, with. Primary hypertension also known as essential hypertension is the in.