Essential hypertension
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Essential hypertension | |
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Synonyms | Primary hypertension, idiopathic hypertension |
Pronounce | N/A |
Specialty | N/A |
Symptoms | Often none; may include headache, dizziness, shortness of breath |
Complications | Stroke, heart attack, heart failure, chronic kidney disease, vision loss |
Onset | Typically middle age |
Duration | Long term |
Types | N/A |
Causes | Genetic factors, lifestyle factors (e.g., diet, physical inactivity, obesity) |
Risks | Family history, age, high salt intake, alcohol consumption, smoking, stress |
Diagnosis | Blood pressure measurement |
Differential diagnosis | Secondary hypertension |
Prevention | Healthy diet, regular exercise, weight management, limiting alcohol, smoking cessation |
Treatment | Lifestyle changes, antihypertensive medication |
Medication | ACE inhibitors, beta blockers, calcium channel blockers, diuretics |
Prognosis | Variable; can be managed with treatment |
Frequency | Affects 1 in 3 adults in the United States |
Deaths | Leading cause of cardiovascular disease deaths |
Essential Hypertension is a medical condition characterized by high blood pressure with no identifiable cause. It is also known as primary hypertension.
Definition
Essential hypertension is a type of hypertension that does not have a known secondary cause. It's also referred to as primary hypertension. According to the American Heart Association, this type of hypertension tends to develop gradually over many years.
Causes
While the exact causes of essential hypertension are not known, several factors have been linked to this condition. These include genetics, age, diet, and lifestyle factors such as stress and lack of exercise.
Symptoms
Most people with essential hypertension have no symptoms, even if blood pressure readings reach dangerously high levels. Some people may experience headaches, shortness of breath, or nosebleeds, but these symptoms aren't specific and usually don't occur until high blood pressure has reached a severe or life-threatening stage.
Diagnosis
Diagnosis of essential hypertension is made by a healthcare provider using a blood pressure monitor. If a person has a blood pressure reading of 140/90 mmHg or higher on two or more occasions, they may be diagnosed with hypertension.
Treatment
Treatment for essential hypertension includes lifestyle modifications and medications. Lifestyle changes can include a healthy diet, regular exercise, quitting smoking, and limiting alcohol intake. Medications used to treat essential hypertension include diuretics, beta-blockers, calcium channel blockers, and angiotensin-converting enzyme (ACE) inhibitors.
Prevention
Prevention strategies for essential hypertension include maintaining a healthy weight, regular exercise, a diet low in salt and saturated fats, and limiting alcohol intake.
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Contributors: Prab R. Tumpati, MD