DEFINITION:Persistent increase in systemic arterialblood pressure.CLINICAL DEFINITION:When systolic B.P rises above130mmHg and diastolic B.P above 85.(reference: Silver-thorn)
Don’t declare a person as hypertensive on 1
clinical reading! (white coat hypertension) but on at least 3readings at different timings & in different postures; preferably B.P chart should be maintained at home by different persons thrice or at least twice a day, beforelabeling the patient !
TYPES OF HYPERTENSION:
PRIMARY / ESSENTIALSECONDARYPRIMARY HYPERTENSION:Hypertension is of unknown origin. Strong hereditarytendency. Excess wt gain (65-70% risk,
prolong QT interval in obese
) & sedentary life style may play amajor role.(C.O, Symp activity, Ang-II & Aldost increased & renalnatriuresis impaired unless art. Pr is high or renal funcis improved).PRIMARY HYPERTENSION TYPES:BENIGN &MALIGNANT / ACCELERATED.
In early stages: moderate hypertension200/100 mmHgIn sleep and at rest: normo-tensive.In late stages: does not come back tonormal during rest. Persistenthypertension
vascular disease or end organ damage (cardiac or renal)