What is hypertension?
Hypertension is a level of blood pressure that when lowered by drugs predicts benefits.
Systolic Blood pressure < 120mm of Hg & Diastolic Blood pressure <80mm of Hg
Systolic Blood pressure 120-129mm of Hg & Diastolic Blood pressure <80mm of Hg
Systolic Blood pressure 130-139mm of Hg & Diastolic Blood pressure 80-89mm of Hg
Systolic Blood pressure >140mm of hg & Diastolic Blood pressure >90mm of hg
Joint National committee (JNC) Classification
Causes of Hypertension1. Essential - no cause
2. Secondary Hypertension – can be due to associated disease
a. Kidney Disease
b. Renovascular disease
c. Thyroid disease
d. Pheochromo cytoma
e. Primary aldostermism
f. Drug related
g. Cushings syndrome
Complications of untreated Hypertension1. Heart attack
3. Brain stroke
5. Target organ damage
6. Retinal Bleeding
When to see Nephrologist ?1. Once high Bp detected
2. Hypertension in young person
3. Associated Kidney disease
2. In few secondary form of hypertension surgery may be required.