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Secondary Hypertension

Secondary hypertension, or secondary high blood pressure, is different from primary hypertension. This form of high blood pressure is caused by another medical condition. Most commonly, secondary hypertension is caused by health conditions that impact the arteries, the kidneys, the endocrine system, or the heart. Secondary hypertension can also be caused by pregnancy.

Just as in primary hypertension, controlling the blood pressure is critical to ensure that there is no damage done to the organs and to help the person suffering from high blood pressure to feel better.

Symptoms

Secondary hypertension can be hard to diagnose. Just as in primary hypertension, some people experience mild enough symptoms that they are not aware that they are suffering from this condition. The most common symptoms of this condition are:

  • High blood pressure that cannot be managed with blood pressure medications
  • A systolic blood pressure that is over 180 or a diastolic blood pressure that is over 120
  • A sudden onset of high blood pressure after age 55 or before age 30
  • No family history of hypertension
  • Patient who is a healthy weight
  • Patient who does not drink, smoke, or eat high-sodium foods

Causes & Risk Factors

Since secondary hypertension is caused by other health concerns, pre-existing health conditions are the most common risk factors and causes for this condition.

  • Diabetic Neuropathy – Diabetes changes the way that the kidneys filter out waste, which can lead to high blood pressure.
  • Polycystic Kidney Disease- This is an inherited condition caused by cysts in the kidneys that interfere with healthy kidney function.
  • Glomerular Disease- In this condition, the glomeruli filters in the kidneys are swollen and are unable to efficiently remove waste and sodium from the body.
  • Renovascular Hypertension- This condition happens when the arteries leading into the kidneys have narrowed. This can be due to fatty plaques or other conditions that can cause changes to muscle and fibrous tissue.
  • Cushing’s Syndrome – Cushing’s is a pituitary condition, and it can impact adrenal health and put pressure on the kidneys.
  • Thyroid Conditions – There are a variety of thyroid conditions that can cause adrenal problems in the body and lead to secondary hypertension.

This is not an exhaustive list of the potential causes or risk factors for secondary hypertension, and your doctor might find that another health condition that you have is the reason for your high blood pressure.

Diagnosis

Diagnosis can require a few different tests. Your doctor will typically notice that your blood pressure is too high when doing a basic blood pressure test using a blood pressure cuff. If your blood pressure is too high using this simple test, they might also order the following tests:

  • Blood tests to look at the potassium, sodium, creatinine, blood glucose, and other factors in the blood.
  • Ultrasound of the kidneys to look for damage to the kidneys that might be leading to your secondary hypertension.
  • Electrocardiogram (ECG or EKG), which is used to look at the health of the heart and to see if there is a thickening of artery walls or other blood circulation structures.
  • Urinalysis to look for factors that indicate that the kidneys are involved in your hypertension or to test for diabetes.

Treatment & Prevention

Treatment for secondary hypertension will almost always require the use of medications to support healthy blood pressure. A combination of diuretics and beta blockers might be used to control your high blood pressure. Your doctor might have to adjust your medication over time as well to help avoid side effects or to keep up with the changing needs of your condition. For those who are suffering from secondary hypertension that is connected with pregnancy, treatment will likely only be needed throughout the duration of the pregnancy.

Prevention of secondary hypertension can be complex since it is typically caused by other health conditions. You can reduce the risk of secondary hypertension by lowering the sodium in your diet, by maintaining a healthy weight, limiting your alcohol intake, and staying active every day.

 
 
 

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