What is the problem of secondary hypertension

When it comes to the problem of high blood pressure, I believe everyone knows about it in life. The consequences of secondary hypertension are also relatively serious, but the treatment methods are different from those for ordinary hypertension. You must pay attention to care in life, abstain from smoking and drinking, and do not eat fatty meat.

1. Secondary hypertension refers to hypertension secondary to other diseases or causes. It only accounts for 5% to 10% of hypertension in the population. Increased blood pressure is only a clinical manifestation of these diseases. The clinical manifestations, complications and consequences of secondary hypertension are similar to those of primary hypertension.

2. Secondary hypertension has a clear cause, and the treatment method is completely different from that of primary hypertension. Most pheochromocytomas are benign and can be surgically removed with good results. About 10% of pheochromocytomas are malignant, and there may be multiple metastases after tumor resection. 131I-MIBG can have a certain effect. ACE inhibitors have a protective effect on the kidneys. In addition to lowering blood pressure, they can also reduce proteinuria and delay the deterioration of renal function. Treatment of renal artery stenosis includes surgery, percutaneous renal angioplasty (PTRA) and drug therapy. Surgical treatment includes blood flow reconstruction, renal transplantation, and nephrectomy. Percutaneous renal angioplasty is simple and effective, and is the preferred treatment.

3. Those who are not suitable for the above treatment can only use drugs to lower blood pressure. ACE inhibitors have a blood pressure lowering effect, but may further reduce the glomerular filtration rate and worsen renal function, especially for bilateral renal artery stenosis. Calcium channel blockers have a blood pressure lowering effect and do not significantly affect renal function. Most primary aldosteronism is caused by a single adrenal cortical adenoma, and surgical resection is the best treatment. Cancer may need to be resected, and if there is no metastasis, the effect is also very good. For hyperplasia cases, a large part of the adrenal gland can be removed, but the effect is poor, and drug treatment is generally required. Spironolactone is an aldosterone antagonist that can lower blood pressure, increase blood potassium, and relieve symptoms.

4. Daily care:

1. Avoid smoking and drinking, and eat less salt. The incidence of hypertension is directly proportional to the salt intake.

2. Eat less fatty meat and animal offal, because fatty meat and animal offal contain saturated fatty acids and cholesterol, eating too much will aggravate high blood pressure.

3. Scientific life rules: regular daily routine, work and rest, moderate diet, low salt and fat, quit smoking and limit alcohol.

4. Maintain a good mood: learn to adjust your own psychology, balance your own psychology, and create a good mood for yourself.

5. Avoid straining during bowel movements and avoid exciting situations that can easily lead to extreme sadness or joy.