Secondary (symptomatic) arterial hypertension, in contrast to the primary (essential) form of hypertension, has an underlying, potentially curable cause. High blood pressure is formed as a symptom and the main sign of another independent disease. Diseases leading to the development of symptomatic arterial hypertension are associated with the pathology of organs involved in the regulation of blood pressure.
REASONS OF INCREASED SYMPTOMATIC PRESSURE.
To date, about 60 diseases are known that secondarily lead to arterial hypertension. For convenience, they are classified into several large groups, depending on the causing causes and pathological mechanisms of increasing pressure:
• Renal, or nephrogenic hypertension: develops with damage to the renal tissue in chronic pyelonephritis, glomerulonephritis, pathology of the renal arteries, renal tuberculosis, tumor processes. Also, congenital anomalies of the kidneys and renal vessels (hypoplasia of the kidney, hydronephrosis, dystopias, pathological mobility of the kidney, vascular anomalies of a congenital nature) can lead to hypertension;
• Endocrine hypertension: associated with diseases and neoplastic processes of the endocrine system organs: adrenal glands, thyroid gland. These include pheochromocytoma, pheochromoblastoma, aldosteroma (primary aldosteronism, or Conn's syndrome), corticosteroma, Itsenko-Cushing's syndrome, diffuse toxic goiter.
• Hemodynamic hypertension is caused by pathology of the heart and large vessels: congestive heart failure, congenital and acquired heart and aortic defects (coarctation of the aorta), arteritis, stenosis of the carotid and vertebral arteries;
• Central, or neurogenic arterial hypertension, is the result of disorders occurring at the level of the central system - brain tumor, encephalitis, trauma, focal ischemic lesions.
TREATMENT OF SYMPTOMATIC HYPERTENSION.
Standard antihypertensive therapy alone for secondary hypertension is not enough to maintain optimal blood pressure values (in contrast to the primary form of the disease)
This can be achieved both conservatively and surgically. Treatment tactics are determined by the form of the disease.
Therapeutic treatment of symptomatic arterial hypertension can consist in medication correction of hormonal levels in thyroid diseases, the use of various groups of drugs in inflammatory kidney pathology and endocrine pathology, during preoperative preparation. Antihypertensive therapy is carried out in parallel with the treatment of the underlying disease.
Surgical treatment is required for patients with tumor processes (pheochromocytoma, brain tumors, including the pituitary gland), as well as for pathology from the renal arteries.
You can safely begin treatment, which we carry out as quickly and efficiently as possible in Tashkent. The Gatling Med clinic will make you feel confident in yourself and your health!