Hypertension is an increase in intermittent or protracted in diastolic and systolic blood pressure that occurs in two main types of essential hypertension (also known as essential hypertension or idiopathic hypertension which is the most common) and secondary hypertension (caused by kidney disease or other causes can be identified). Malignant hypertension is a severe form of hypertension and arise very suddenly and generally occur in two types of hypertension.
Hypertension is a major cause of stroke, heart disease, and kidney failure. The prognosis is good if the disorder is detected early and if it starts to be addressed before the patient has complications. Blood pressure rose to great (hypertensive crisis) could be fatal.
Hypertension attacking blacks are three times more than whites. If left untreated, hypertension cause high mortality. However, in many cases, treatment with multilevel treatment gives a better prognosis.
Systolic hypertension have a risk equal to or greater than the elevation of the diastolic. Systolic hypertension is commonly seen in the elderly and raise the risk of stroke or myocardial infarction (myocardial infarction-MI). Hypertension usually does not cause clinical effects to vascular changes in the heart, brain, or kidneys. The increase in high blood pressure damage intima of small vessels, causing accumulation of fibrin in the vessels, the development of local edema, and intravascular clots can also.
Causes of Hypertension
Essential hypertension
- Unknown
Predisposing Factors
- Aging
- Family history
- Intake of saturated fat or high sodium
- Insulin resistance
- Obesity
- Race (most commonly affects black people)
- Demanding lifestyle often sit and not move
- Stress
- Smoke
Secondary Hypertension
- Koarktasi aorta
- Cushing's syndrome
- Drugs, such as cocaine, epoetin alfa, and cyclosporine
- Use of hormonal contraceptives
- Neurological disorders
- Pheochromocytoma
- Gestation
- Hiperaldosteroisme primary
- Thyroid dysfunction, pituitary, or parathyroid
Signs and Symptoms of Hypertension
Symptoms caused by this process depends on the location of the damaged vessels
- Brain: stroke
- Retina: blindness
- Heart: the heart's workload, causing increased left ventricular hypertrophy and heart failure after left and right side, MI and pulmonary edema
- Renal: proteinuria, edema, and kidney failure
Diagnostic Test
- Measurement of blood pressure in a row that more than 120/80 mmHg but less than 140/90 mmHg indicates prehypertension; measuring more than 140/90 mmHg ensure hypertension.
- Auscultation showed an abnormal sound in the abdominal aorta and carotid artery, renal, and femoral
- Ophthalmoscopy showed arteriovenous notch and in hypertensive encephalopathy, papilledema.
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