SlideShare a Scribd company logo
CAUSES OF
HYPERTENSION
Types of hypertension
There are two broad types:
1. Primary or essential hypertension has no clear underlying
cause but appears to be the result of an interplay of
complex genetic and environmental factors.
2. Secondary hypertension is caused by a specific underlying
mechanism usually involving kidneys or endocrine system
Mechanisms in primary hypertension
Several patho-physiological mechanisms contribute
to the development of primary hypertension.
The factors include:
oGenetics ; Genes in the RAAS
oHigh salt intake ; Increase sodium and water
retention
oLow physical activity ; Accumulate excessive fat
,increase peripheral vascular resistance
oObesity ; insulin resistance, increase in vascular
resistance
oInsulin resistance ; Increased and peripheral
resistance
oRenin – angiotensin system; Fluid retention
oSympathetic nervous system; Peripheral
vasoconstriction and systemic vascular resistance.
oIntrauterine nutrition and low birth weight;
Increased sensitivity to glucocorticoids, structural
changes in blood vessels and kidneys resulting in
impaired endothelial development and impaired
renal devt respectively
Causes of secondary hypertension
These are unusual but are important because the
cause may be curable:
1. Endocrine causes:
oCushing‟s syndrome ;glucocorticoids activate RAAS,
can cross react and activate mineralocortcoids,
suppress vasodilatory systems.
oConn‟s syndrome; hyperaldosteronism-increased
sodium retention.
oPhaeochromocytoma; increased catecholamine
activity
oHyper / Hypothyroidism ; ↑ T3 activity
oAcromegaly ; ↑GH,hyperthyroidism,insulin
resistance.
oHyperparathyroidism; hypercalcaemia
oExogenous hormones,
e.g. contraceptive pills, glucocorticoids; estrogen
stimulates hepatic production of angioteninogen
2. Renal causes:
oGlomerulonephritis
oDiabetic nephropathy
oPolycystic kidney disease
oRenal artery stenosis.
3.Other causes:
oCoarctation of the aorta
oPregnancy associated hypertension e.g preeclampsia
oAlcohol
oAcute stress.
oSmoking.
oSeep apnoea
oAge related
DR AGABA WILRED MBBS
THE END

More Related Content

What's hot

Hypertension
HypertensionHypertension
Hypertension
samirelansary
 
Hypertension
Hypertension Hypertension
Hypertension
Amardeep Kumar
 
2022 Hypertension Lecture (Updated Guidelines).pdf
2022 Hypertension Lecture (Updated Guidelines).pdf2022 Hypertension Lecture (Updated Guidelines).pdf
2022 Hypertension Lecture (Updated Guidelines).pdf
Meccar Moniem Elino
 
Hypertension 2020 Updated Guidelines
Hypertension 2020 Updated GuidelinesHypertension 2020 Updated Guidelines
Hypertension 2020 Updated Guidelines
Dr. Aryan (Anish Dhakal)
 
Hypertension
HypertensionHypertension
Hypertension
Aileen Pascual
 
Hyperlipidemia
HyperlipidemiaHyperlipidemia
Hyperlipidemia
Mohammed Alsheikh
 
Hypertension
HypertensionHypertension
Hypertension
TELIAZERTharmaraj
 
Hypertension pathophysiology
Hypertension pathophysiologyHypertension pathophysiology
Hypertension pathophysiology
Keerthana Ramesh
 
Management of dyslipidemia
Management of dyslipidemiaManagement of dyslipidemia
Management of dyslipidemia
Amir Mahmoud
 
Essential hypertension
Essential hypertensionEssential hypertension
Essential hypertension
OPTOM FASLU MUHAMMED
 
Systemic lupus erythematosus overview
Systemic lupus erythematosus   overviewSystemic lupus erythematosus   overview
Systemic lupus erythematosus overview
Dr. Mohammed Sadiq Azam M.D.
 
Essential hypertension lecture
Essential hypertension lectureEssential hypertension lecture
Essential hypertension lecture
mt53y8
 
Hyperlipidemia
Hyperlipidemia Hyperlipidemia
Hyperlipidemia
PriyanshiPatel18
 
alcoholoc liver disease
alcoholoc liver diseasealcoholoc liver disease
alcoholoc liver disease
Dr B Naga Raju
 
Hypertension
HypertensionHypertension
Hypertension
Nandkishor Jha
 
Congestive cardiac failure
Congestive cardiac failureCongestive cardiac failure
Congestive cardiac failure
Sudeep Kashyap
 
Hypertension (HTN)
Hypertension (HTN)Hypertension (HTN)
Hypertension (HTN)
mahadev deuja
 
Case Study Congestive Heart Failure
Case Study Congestive Heart FailureCase Study Congestive Heart Failure
Case Study Congestive Heart Failure
Cynthia Lee
 
Link between diabetes and Heart disease
Link between diabetes and Heart diseaseLink between diabetes and Heart disease
Link between diabetes and Heart disease
Saurabh
 
Non-Alcoholic Fatty Liver Disease (NAFLD)
Non-Alcoholic Fatty Liver Disease (NAFLD)Non-Alcoholic Fatty Liver Disease (NAFLD)
Non-Alcoholic Fatty Liver Disease (NAFLD)
Sariu Ali
 

What's hot (20)

Hypertension
HypertensionHypertension
Hypertension
 
Hypertension
Hypertension Hypertension
Hypertension
 
2022 Hypertension Lecture (Updated Guidelines).pdf
2022 Hypertension Lecture (Updated Guidelines).pdf2022 Hypertension Lecture (Updated Guidelines).pdf
2022 Hypertension Lecture (Updated Guidelines).pdf
 
Hypertension 2020 Updated Guidelines
Hypertension 2020 Updated GuidelinesHypertension 2020 Updated Guidelines
Hypertension 2020 Updated Guidelines
 
Hypertension
HypertensionHypertension
Hypertension
 
Hyperlipidemia
HyperlipidemiaHyperlipidemia
Hyperlipidemia
 
Hypertension
HypertensionHypertension
Hypertension
 
Hypertension pathophysiology
Hypertension pathophysiologyHypertension pathophysiology
Hypertension pathophysiology
 
Management of dyslipidemia
Management of dyslipidemiaManagement of dyslipidemia
Management of dyslipidemia
 
Essential hypertension
Essential hypertensionEssential hypertension
Essential hypertension
 
Systemic lupus erythematosus overview
Systemic lupus erythematosus   overviewSystemic lupus erythematosus   overview
Systemic lupus erythematosus overview
 
Essential hypertension lecture
Essential hypertension lectureEssential hypertension lecture
Essential hypertension lecture
 
Hyperlipidemia
Hyperlipidemia Hyperlipidemia
Hyperlipidemia
 
alcoholoc liver disease
alcoholoc liver diseasealcoholoc liver disease
alcoholoc liver disease
 
Hypertension
HypertensionHypertension
Hypertension
 
Congestive cardiac failure
Congestive cardiac failureCongestive cardiac failure
Congestive cardiac failure
 
Hypertension (HTN)
Hypertension (HTN)Hypertension (HTN)
Hypertension (HTN)
 
Case Study Congestive Heart Failure
Case Study Congestive Heart FailureCase Study Congestive Heart Failure
Case Study Congestive Heart Failure
 
Link between diabetes and Heart disease
Link between diabetes and Heart diseaseLink between diabetes and Heart disease
Link between diabetes and Heart disease
 
Non-Alcoholic Fatty Liver Disease (NAFLD)
Non-Alcoholic Fatty Liver Disease (NAFLD)Non-Alcoholic Fatty Liver Disease (NAFLD)
Non-Alcoholic Fatty Liver Disease (NAFLD)
 

Similar to Causes of hypertension

CVS pathology -4 Hypertension (HTN) 2019, sufia husain
CVS pathology -4 Hypertension (HTN) 2019, sufia husainCVS pathology -4 Hypertension (HTN) 2019, sufia husain
CVS pathology -4 Hypertension (HTN) 2019, sufia husain
Sufia Husain
 
PATHOLOGY OF HYPERTENSION .ppt
PATHOLOGY OF HYPERTENSION           .pptPATHOLOGY OF HYPERTENSION           .ppt
PATHOLOGY OF HYPERTENSION .ppt
Imtiyaz60
 
Introduction-to-Secondary-Hypertension-in-Young-Adults.pptx
Introduction-to-Secondary-Hypertension-in-Young-Adults.pptxIntroduction-to-Secondary-Hypertension-in-Young-Adults.pptx
Introduction-to-Secondary-Hypertension-in-Young-Adults.pptx
janahi_bh
 
Adrenocortical disorders
Adrenocortical disordersAdrenocortical disorders
Adrenocortical disorders
DrShagufta Akmal
 
Hypertension
HypertensionHypertension
Diabetus mellitus (seminor)
Diabetus mellitus (seminor) Diabetus mellitus (seminor)
Diabetus mellitus (seminor)
ROMAN BAJRANG
 
Hypertension
Hypertension Hypertension
Hypertension
Baljinder Singh
 
CKD MANAGEMENT.pdf
CKD MANAGEMENT.pdfCKD MANAGEMENT.pdf
CKD MANAGEMENT.pdf
Moses Dumbuya
 
Eitiology of Hypertension.pdf
Eitiology of Hypertension.pdfEitiology of Hypertension.pdf
Eitiology of Hypertension.pdf
healthuseful
 
Hypertension
Hypertension Hypertension
Hypertension
shivangimistry3
 
diabetes (2).ppt
diabetes (2).pptdiabetes (2).ppt
diabetes (2).ppt
El Foro
 
HTN presentation
HTN presentationHTN presentation
HTN presentation
Ahmed Ajeebi
 
Hypertension diagnosis
Hypertension diagnosisHypertension diagnosis
Hypertension diagnosis
Basem Enany
 
Hypertention presentation by dhanya v thilakam
Hypertention presentation by dhanya v thilakamHypertention presentation by dhanya v thilakam
Hypertention presentation by dhanya v thilakam
Thilakam Dhanya
 
Presentation-Justin Allen Diabetic Nephropathy .pptx
Presentation-Justin Allen Diabetic Nephropathy .pptxPresentation-Justin Allen Diabetic Nephropathy .pptx
Presentation-Justin Allen Diabetic Nephropathy .pptx
JustinAllen80
 
HTN
HTNHTN
Hypertension
HypertensionHypertension
Hypertension
ANANT NAG
 
pharmacology project
pharmacology project pharmacology project
pharmacology project
Nav Kaur
 
Hypertension, e-Medicine Article
Hypertension, e-Medicine ArticleHypertension, e-Medicine Article
Hypertension, e-Medicine Article
Imhotep Virtual Medical School
 
Recent Advances In Antioxidants Therapy In Hypertension - Vinay Gadhvi
Recent Advances In Antioxidants Therapy In Hypertension - Vinay GadhviRecent Advances In Antioxidants Therapy In Hypertension - Vinay Gadhvi
Recent Advances In Antioxidants Therapy In Hypertension - Vinay Gadhvi
Kishan Gadhvi
 

Similar to Causes of hypertension (20)

CVS pathology -4 Hypertension (HTN) 2019, sufia husain
CVS pathology -4 Hypertension (HTN) 2019, sufia husainCVS pathology -4 Hypertension (HTN) 2019, sufia husain
CVS pathology -4 Hypertension (HTN) 2019, sufia husain
 
PATHOLOGY OF HYPERTENSION .ppt
PATHOLOGY OF HYPERTENSION           .pptPATHOLOGY OF HYPERTENSION           .ppt
PATHOLOGY OF HYPERTENSION .ppt
 
Introduction-to-Secondary-Hypertension-in-Young-Adults.pptx
Introduction-to-Secondary-Hypertension-in-Young-Adults.pptxIntroduction-to-Secondary-Hypertension-in-Young-Adults.pptx
Introduction-to-Secondary-Hypertension-in-Young-Adults.pptx
 
Adrenocortical disorders
Adrenocortical disordersAdrenocortical disorders
Adrenocortical disorders
 
Hypertension
HypertensionHypertension
Hypertension
 
Diabetus mellitus (seminor)
Diabetus mellitus (seminor) Diabetus mellitus (seminor)
Diabetus mellitus (seminor)
 
Hypertension
Hypertension Hypertension
Hypertension
 
CKD MANAGEMENT.pdf
CKD MANAGEMENT.pdfCKD MANAGEMENT.pdf
CKD MANAGEMENT.pdf
 
Eitiology of Hypertension.pdf
Eitiology of Hypertension.pdfEitiology of Hypertension.pdf
Eitiology of Hypertension.pdf
 
Hypertension
Hypertension Hypertension
Hypertension
 
diabetes (2).ppt
diabetes (2).pptdiabetes (2).ppt
diabetes (2).ppt
 
HTN presentation
HTN presentationHTN presentation
HTN presentation
 
Hypertension diagnosis
Hypertension diagnosisHypertension diagnosis
Hypertension diagnosis
 
Hypertention presentation by dhanya v thilakam
Hypertention presentation by dhanya v thilakamHypertention presentation by dhanya v thilakam
Hypertention presentation by dhanya v thilakam
 
Presentation-Justin Allen Diabetic Nephropathy .pptx
Presentation-Justin Allen Diabetic Nephropathy .pptxPresentation-Justin Allen Diabetic Nephropathy .pptx
Presentation-Justin Allen Diabetic Nephropathy .pptx
 
HTN
HTNHTN
HTN
 
Hypertension
HypertensionHypertension
Hypertension
 
pharmacology project
pharmacology project pharmacology project
pharmacology project
 
Hypertension, e-Medicine Article
Hypertension, e-Medicine ArticleHypertension, e-Medicine Article
Hypertension, e-Medicine Article
 
Recent Advances In Antioxidants Therapy In Hypertension - Vinay Gadhvi
Recent Advances In Antioxidants Therapy In Hypertension - Vinay GadhviRecent Advances In Antioxidants Therapy In Hypertension - Vinay Gadhvi
Recent Advances In Antioxidants Therapy In Hypertension - Vinay Gadhvi
 

Recently uploaded

K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấuK CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
HongBiThi1
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
PsychoTech Services
 
vonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentationvonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentation
Dr.pavithra Anandan
 
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
rishi2789
 
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptxVestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptxREGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
LaniyaNasrink
 
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
Holistified Wellness
 
DECLARATION OF HELSINKI - History and principles
DECLARATION OF HELSINKI - History and principlesDECLARATION OF HELSINKI - History and principles
DECLARATION OF HELSINKI - History and principles
anaghabharat01
 
10 Benefits an EPCR Software should Bring to EMS Organizations
10 Benefits an EPCR Software should Bring to EMS Organizations   10 Benefits an EPCR Software should Bring to EMS Organizations
10 Benefits an EPCR Software should Bring to EMS Organizations
Traumasoft LLC
 
Complementary feeding in infant IAP PROTOCOLS
Complementary feeding in infant IAP PROTOCOLSComplementary feeding in infant IAP PROTOCOLS
Complementary feeding in infant IAP PROTOCOLS
chiranthgowda16
 
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International TravelersTravel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
NX Healthcare
 
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptxEar and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Adhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.comAdhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.com
reignlana06
 
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and AntagonistPharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
Dr. Nikhilkumar Sakle
 
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
FFragrant
 
Ketone bodies and metabolism-biochemistry
Ketone bodies and metabolism-biochemistryKetone bodies and metabolism-biochemistry
Ketone bodies and metabolism-biochemistry
Dhayanithi C
 
Acute Gout Care & Urate Lowering Therapy .pdf
Acute Gout Care & Urate Lowering Therapy .pdfAcute Gout Care & Urate Lowering Therapy .pdf
Acute Gout Care & Urate Lowering Therapy .pdf
Jim Jacob Roy
 
Chapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptxChapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptx
Earlene McNair
 
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptxPost-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
FFragrant
 
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
rishi2789
 

Recently uploaded (20)

K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấuK CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
 
vonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentationvonoprazan A novel drug for GERD presentation
vonoprazan A novel drug for GERD presentation
 
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
CHEMOTHERAPY_RDP_CHAPTER 2 _LEPROSY.pdf1
 
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptxVestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
 
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptxREGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
 
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
 
DECLARATION OF HELSINKI - History and principles
DECLARATION OF HELSINKI - History and principlesDECLARATION OF HELSINKI - History and principles
DECLARATION OF HELSINKI - History and principles
 
10 Benefits an EPCR Software should Bring to EMS Organizations
10 Benefits an EPCR Software should Bring to EMS Organizations   10 Benefits an EPCR Software should Bring to EMS Organizations
10 Benefits an EPCR Software should Bring to EMS Organizations
 
Complementary feeding in infant IAP PROTOCOLS
Complementary feeding in infant IAP PROTOCOLSComplementary feeding in infant IAP PROTOCOLS
Complementary feeding in infant IAP PROTOCOLS
 
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International TravelersTravel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
 
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptxEar and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
 
Adhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.comAdhd Medication Shortage Uk - trinexpharmacy.com
Adhd Medication Shortage Uk - trinexpharmacy.com
 
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and AntagonistPharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
 
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
 
Ketone bodies and metabolism-biochemistry
Ketone bodies and metabolism-biochemistryKetone bodies and metabolism-biochemistry
Ketone bodies and metabolism-biochemistry
 
Acute Gout Care & Urate Lowering Therapy .pdf
Acute Gout Care & Urate Lowering Therapy .pdfAcute Gout Care & Urate Lowering Therapy .pdf
Acute Gout Care & Urate Lowering Therapy .pdf
 
Chapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptxChapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptx
 
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptxPost-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
 
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
 

Causes of hypertension

  • 1. CAUSES OF HYPERTENSION Types of hypertension There are two broad types: 1. Primary or essential hypertension has no clear underlying cause but appears to be the result of an interplay of complex genetic and environmental factors. 2. Secondary hypertension is caused by a specific underlying mechanism usually involving kidneys or endocrine system
  • 2. Mechanisms in primary hypertension Several patho-physiological mechanisms contribute to the development of primary hypertension. The factors include: oGenetics ; Genes in the RAAS oHigh salt intake ; Increase sodium and water retention oLow physical activity ; Accumulate excessive fat ,increase peripheral vascular resistance oObesity ; insulin resistance, increase in vascular resistance
  • 3. oInsulin resistance ; Increased and peripheral resistance oRenin – angiotensin system; Fluid retention oSympathetic nervous system; Peripheral vasoconstriction and systemic vascular resistance. oIntrauterine nutrition and low birth weight; Increased sensitivity to glucocorticoids, structural changes in blood vessels and kidneys resulting in impaired endothelial development and impaired renal devt respectively
  • 4. Causes of secondary hypertension These are unusual but are important because the cause may be curable: 1. Endocrine causes: oCushing‟s syndrome ;glucocorticoids activate RAAS, can cross react and activate mineralocortcoids, suppress vasodilatory systems. oConn‟s syndrome; hyperaldosteronism-increased sodium retention. oPhaeochromocytoma; increased catecholamine activity
  • 5. oHyper / Hypothyroidism ; ↑ T3 activity oAcromegaly ; ↑GH,hyperthyroidism,insulin resistance. oHyperparathyroidism; hypercalcaemia oExogenous hormones, e.g. contraceptive pills, glucocorticoids; estrogen stimulates hepatic production of angioteninogen
  • 6. 2. Renal causes: oGlomerulonephritis oDiabetic nephropathy oPolycystic kidney disease oRenal artery stenosis.
  • 7. 3.Other causes: oCoarctation of the aorta oPregnancy associated hypertension e.g preeclampsia oAlcohol oAcute stress. oSmoking. oSeep apnoea oAge related DR AGABA WILRED MBBS THE END