Hypertension means high blood pressure and is a risk factor for heart disease. systolic pressure
(systolic blood pressure) and diastolic pressure (diastolic pressure) as “millimeters of mercury (mmHg)”
Expressed. systolic blood pressure (systolic blood pressure) 120 mmHg and diastolic blood pressure (low
blood pressure) to be 80 mmHg is the blood pressure values ​​closest to the ideal.

Hypertension and its associated health problems can threaten life negatively.
If hypertension cannot be controlled, heart attack (myocardial infarction), stroke (stroke) and kidney failure
probability increases.

Hypertension is a serious health problem seen in more than one billion people in the world. All
Hypertension is a very common problem in our country as in the world.

It is seen that gender also affects blood pressure differently. In our country, women are in the 30-39 age group.
Until the age of 40, they do not have much different blood pressure values ​​from those in men.
They have higher systolic and diastolic pressures than men.

hypertension ; such as headache, dizziness, ringing or pressure in the ear, and nosebleeds.
Although symptoms may occur, there are also cases in which no signs and symptoms are encountered. Family
people with a history (genetics), obese, diabetics, COPD patients, those with sleep apnea, and those who consume excessive salt
Anyone over the age of 40 is at risk. People with risk factors have regular blood pressure
They should be checked and treated before permanent damage to the organs occurs.

There is no other underlying disease that may cause high blood pressure in 90-95% of the patients. To these
It is called primary (primary) hypertension. In the remaining 5-10% of the patients, high blood pressure is due to a cause or
appeared secondary to the disease. This is called secondary hypertension.

Classification of hypertension according to its causes:

1.) Primary (Essential) Hypertension

It is a form of hypertension that is not due to a specific cause. Increasing risk factors; excessive alcohol intake, smoking,
sedentary life, polycythemia, nonsteroidal anti-inflammatory drugs and low potassium intake.

• Genetic predisposition
• Excessive salt consumption
• Obesity
• Sympathetic nervous system overwork
• Role of the renin-angiotensin system
• Renal impairment in salt excretion

• Increased intracellular sodium and calcium
• Low birth weight
• Hasty, impatient, stressful personality structure

2.) Secondary Hypertension

It is a form of hypertension due to a certain disease or cause.

• Renal related causes
• Chronic pyelonephritis
• Acute and chronic glomerulonephritis
• Polycystic kidney disease
• Renal artery stenosis
• Arteriolar nephrosclerosis
• Diabetic nephropathy
• Renin-secreting tumors

endocrine causes

• Oral contraceptives
• Adrenocortical Hyperfunction
• Cushing’s syndrome
• Primary hyperaldosteronism
• Congenital adrenal hyperplasia (17 α-hydroxylase and 11 β-hydroxylase deficiency)
• Pheochromocytoma
• myxedema
• Acromegaly
• Hypothyroidism, hyperthyroidism
• Hyperparathyroidism
• Sleep-apnea syndrome
• Neurological causes
• Coarctation of the aorta

The exact frequency of secondary hypertension both in the world and in our country is not known exactly.
It is estimated to constitute 5-10% of all hypertensive cases. endocrinologist more
examines and investigates cases of secondary hypertension. Secondary hypertension resistant hypertension

The fact that it is much more common in cases requires serious investigation of the underlying cause.
The most common causes of secondary hypertension are renovascular, renal parenchymal and endocrine pathologies.
Causes of endocrine hypertension; adrenal, thyroid, parathyroid, and pituitary gland disorders and renin
Includes secretory tumors. Primary hyperaldosteronism is the most common cause of endocrine hypertension.
while other endocrine causes are rare. More than 10% of people in the adrenal gland
He has high blood pressure due to an excess of aldosterone, a hormone synthesized. a rare
Pheochromocytoma, an adrenal disorder, can also cause hormone imbalance, leading to hypertension.
As a result, the endocrinology physician can investigate the cause of secondary hypertension and reveal the situation.
provides medical or surgical treatment options for the patient and the problem is successfully controlled.
can be taken under.

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