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What is essential hypertension and how to manage it

Essential hypertension is a form of high blood pressure without underlying cause. The condition is also often called primary or idiopathic hypertension, and the majority of people with high blood pressure have this type.

Jump at the main dishes to remember.

Essential hypertension is high blood pressure that occurs without a known cause.

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Causes and risk factors

There are many contributing factors associated with essential hypertension. They include:

  • Genetics, as some people are more likely to develop high blood pressure than other
  • More advanced age, like those over 65 have a higher risk
  • High alcohol or sodium consumption
  • Have obesity
  • Live a sedentary lifestyle

What are the symptoms?

In many cases, people with essential hypertension will not feel any symptoms or have no sign. If someone has a blood pressure of 180/120 or more (which is very high), it can start to feel symptoms such as:

Essential hypertension vs secondary hypertension

Essential hypertension, which takes into account most cases, occurs when there is no underlying health or to cause its development. It tends to develop slowly and can be soft, moderate or severe.

Secondary hypertension develops at a faster rate and is often more serious.

There are some different causes of secondary hypertension, including:

  • Certain drugs, including anti-inflammatory drugs, chemotherapy drugs, immunosuppressive agents and psychiatric drugs
  • Health disorders, including kidney diseases, obstructive sleep apnea and thyroid disorders
  • Structural heart problems that are present at birth

How is it diagnosed?

A health care provider will read blood pressure using a cuff and a stethoscope to diagnose essential hypertension. They will do several readings at different times to see if the blood pressure beaches change over time.

To exclude the underlying causes, a health care provider can do tests for other disorders, ask which drugs you are currently taking and taking note of your lifestyle habits.

Sometimes they may have to carry out tests of the electrical activity of your heart, ultrasound your kidneys or check your cholesterol levels.

High blood pressure by number

The blood pressure is measured using two readings: systolic and diastolic. Healthy blood pressure is 120 or less systolic and 80 or less diastolic. If the blood pressure is high, the systolic blood pressure will be 130 or more and the combined diastolic blood pressure will be 80 or more.

What are the processing options?

To treat essential hypertension, you may have to make lifestyle changes and take medication, or both. Certain lifestyle changes that can help lower blood pressure include:

  • Eat a healthy diet with low salt consumption
  • Reach and maintain healthy weight
  • Be more physically active and less seated
  • Quit smoking
  • Reduce your alcohol consumption
  • Reduce your consumption of foods rich in saturated or trans fatty

Medicines to treat high blood pressure include:

  • ACE inhibitors
  • Angiotensin-2 receptor blockers
  • Calcic channel blockers
  • Diuretics (water pills)

Treatments based on current state of health

The current health of a person and other conditions will determine the best treatment. Lifestyle changes may be sufficient if they only have slightly high blood pressure. However, if they suffer from severe high blood pressure with heart disease, diabetes or chronic kidney disease, other interventions may be necessary.

Risks of untreated essential hypertension

If you do not treat essential hypertension, it can continue to worsen over time, which leads to complications.

Complications of untreated essential hypertension include:

  • Cardiovascular complications, such as strokes, heart attack, heart failure, sudden heart death or arrhythmia
  • Kidney disease or failure
  • Loss of vision
  • Sexual dysfunction

Can you prevent hypertension?

In some cases, essential hypertension can be avoided with lifestyle changes. This implies:

  • Eat healthier foods, such as fruits and vegetables
  • Sitting less and obtaining at least 150 minutes of aerobic exercise of moderate intensity per week
  • Be more physically active
  • Lose weight if you have an excess weight or obesity
  • Take prescription drugs to maintain other conditions that may lead to hypertension under control
  • Stop smoking and reducing or eliminating alcohol consumption
  • Limit refined sugar intake
  • Reduce and manage stress

Perspectives and prognosis

High blood pressure can have serious consequences. However, if you remain vigilant on the readings of blood pressure and reduce your risk factors, you can manage or lower your blood pressure rate and, with it, serious complications.

Since untreated hypertension is progressing and worsening over time, making lifestyle changes to manage blood pressure and staying healthy is vital. With adequate management, most people live a long and healthy life with essential hypertension.

When to see a supplier

If you are reading the blood pressure and notice that it is high, you should see your health care provider for additional tests. If you feel symptoms, including headaches, chest pain, shortness of breath or vision changes, you should also see your supplier to have your levels test.

Main to remember

  • Essential hypertension develops without identifiable cause and can be cracked in lifestyle, genetics or age. It can be soft, moderate or serious in people who develop the condition.
  • If you are not sure of your state of blood pressure or if you feel certain symptoms and fall into one or more high -risk categories, you should see your health care provider for a reading.
Very well health uses only high -quality sources, including studies evaluated by peers, to support the facts within our articles. Read our editorial process to find out more about how we check the facts and keep our content precise, reliable and trustworthy.
  1. World Health Organization. Hypertension.

  2. Mills KT, Stefanescu A, He J. The global epidemiology of hypertension. Nat rev nephrol. 2020; 16 (4): 223-237. Two: 10.1038 / S41581-019-0244-2

  3. Rossi GP, Bagoria D, Rossi FB, Pintus G, Rostesitto G, Seccia TM. “Essential” high blood pressure: time for a paradigm shift. J hypertens. 2024; 42 (8): 1298-1304. DOI: 10.1097 / HJH.000000000000003767

  4. Charles L, Tiscott J, Dobbs B. Secondary hypertension: discover the underlying cause. Am Fam Doctor. 2017; 96 (7): 453-461.

  5. National Institute of the Heart, Lungs and Blood. High blood pressure diagnosis.

  6. National Institute of the Heart, Lungs and Blood. High blood pressure.

  7. American Heart Association. Threats to the health of high blood pressure.

  8. Charchar FJ, PRESTS PR, Mills C, et al. Hypertension lifestyle management: position of position of the international hypertension company approved by the World Hypertension League and the European Hypertension Company. Journal of Hypertension. 2023; 42 (1): 23. DOI: 10.1097 / HJH.0000000000003563

Additional reading

  • World Health Organization. Hypertension.


By Angelicica Bottaro

Bottaro has a baccalaureate in psychology and an advanced diploma in journalism. It is based in Canada.

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