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Treatment and diagnosis Symptomatic arterial hypertension

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Treatment and diagnosis Symptomatic arterial hypertension

Treatment and diagnosis Symptomatic arterial hypertension

SYMPTOMATIC HYPERTENSION
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 the organs involved in the regulation of blood pressure.

REASONS FOR INCREASING SYMPTOMATIC PRESSURE.

To date, about 60 diseases are known to be secondary to arterial hypertension. For convenience, they are classified into several large groups, depending on the causing causes and pathological mechanisms of pressure increase:

 • Renal or nephrogenic hypertension: develops when the kidney tissue is damaged in chronic pyelonephritis, glomerulonephritis, pathology of the renal arteries, kidney tuberculosis, tumor processes. Also, congenital anomalies of the kidneys and renal vessels (hypoplasia of the kidney, hydronephrosis, dystopia, pathological mobility of the kidney, vascular anomalies of a congenital nature) can lead to hypertension;

• Endocrine hypertension: associated with diseases and tumor processes of the endocrine system: 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 malformations of the heart and aorta (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 - a brain tumor, encephalitis, trauma, focal ischemic lesions.

TREATMENT OF SYMPTOMATIC HYPERTENSION

One standard antihypertensive therapy for secondary hypertension is not enough to maintain optimal blood pressure numbers (unlike the primary form of the disease)

This can be achieved both conservatively and surgically. The tactics of treatment is determined by the form of the disease.

Therapeutic treatment of symptomatic arterial hypertension may consist of drug correction of the hormonal background in diseases of the thyroid gland, the use of various groups of drugs for inflammatory pathology of the kidneys and endocrine pathology, during the period of 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 of the renal arteries.

You can safely start treatment, which we carry out as quickly and efficiently as possible in Tashkent. Gatling Med Clinic will make you feel confident in yourself and in your health!

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