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What is symptomatic (secondary) arterial hypertension?

What diseases are accompanies?

There are several classifications of symptomatic hypertension. By origin they are divided into four groups: renal, endocrine, neurogenic and hemodynamic.

Renal or nephrogenic

This is the most common form of symptomatic hypertension, accounting for about 80% of the total number of cases. Secondary hypertension nephrogenic origin is the result of congenital or acquired lesions of the kidneys or their supplying arteries. From that, how is the causal disease and how quickly corked the renal artery depends on the development of symptomatic hypertension. As a rule, in the initial stages of these diseases increasing pressure is observed. Hypertension occurs when significant lesions of the tissues of the kidneys.

измерение артериального давления

  • Suddenly developed hypertension with sustained high blood pressure.
  • Rapidly progressive hypertension.
  • Young or old age (before 20 and after 60).
  • Bad pressure is reduced by traditional means.
  • The increase in diastolic blood pressure.
  • Sympatho-adrenal crises (panic attacks).

How to treat?

Treatment is aimed at elimination of the primary disease. Adrenal tumors, pathology of renal vessels, coarctation of the aorta require surgical intervention. When a pituitary adenoma is carried out radio, x - ray or laser treatment, if necessary, applied operational methods.

Drug treatment of the main disease appointed in heart failure, eritremii, infections of the urinary tract. Typically, such therapy has a positive effect against secondary hypertension.

When symptomatic arterial hypertension is almost always prescribe drugs that reduce blood pressure. If the kidney damage treatment includes diuretics. When resistant diastolic hypertension of any origin used for the combined treatment using different groups of medicines.

Any treatment is carried out taking into account the patient's age, contraindications and side effects of the drugs.

Forecast

The development and prognosis of symptomatic hypertension depend on the shapes and characteristics of the flow of major diseases. Itself hypertension as the main symptom suggests a poor prognosis. Especially often malignant form take bloodhypertension of renal Genesis. Deteriorating forecast in the case of the annexation of circulatory disorders of the brain and kidney failure. In these cases, the death occurs within a year. A poor prognosis is determined not only by the hypertension. It largely depends on its degree and its effect on the kidneys.

Hypertension is a crucial factor in the case of an unfavourable outcome in pheochromocytoma, if the tumor has not been diagnosed and no treatment, in this case operational.

Most favorable prognosis of menopausal and hemodynamic hypertension and hypertension caused by the syndrome Itsenko-Kushinga.