870ce913-b5c0-4d2b-88f6-7d48dd6e9bf7

Download as pdf or txt
Download as pdf or txt
You are on page 1of 10

is diagnosed when repeated

measurements in a doctor's office yield values of 140/90


mmHg or higher. The diagnosis should be confirmed by
24-hour ambulatory blood pressure monitoring or by home
measurement.
High blood pressure usually develops over time. It can
happen because of unhealthy lifestyle choices, such as not
getting enough regular physical activity.

Hypertensive Disease Is Chronic Disease ,The Mian Clinucal


Characteristics Of Which is lasting & Stable Increasing Of
Arterial Pressure .
Etiologic Classification

Primary or Essential hypertension (95%)


Secondary hypertension (5-10%)
--Renal
--Endocrine
--Neurogenic
--Other
By definition, essential hypertension has no identifiable
cause. However, several risk factors have been identified,
including:
1= obesity
2= salt sensitivity
3= renin homeostasis
4= insulin resistance
5= high-salt diet.
6= age
7= chronic emocional stresses
8= drinking too much alcohol.
Classifications of Hypertension

1.Malignant / Accelerated
Hypertension(Diastolic >120)

2.BenignHypertensio--- A condition
of mild to moderate high blood
pressure that has no identifiable
cause.
Morphology Of Malignant Hypertension

• Fibrinoid necrosis of vessels -> thrombosis-> infarctions, renal


failure, hemorrhages
• Double-sided edema of the disk of opticnerve
• Malignant nephrosclerosisnecrosis of arterioles&
(fibrinoidglomerularcapillary loops, edema & hemorrhages)
Vascular Pathology in Hypertension

• Accelerates atherosclerosis
• Potentiates aortic dissection
• Cerebrovascular hemorrhage
• Small vessel changes. Hyaline

Hyaline Arteriolosclerosis Hyperplastic Arteriolosclerosis Fibrinoid Necrosis

Benign hypertension Malignant hypertension Malignant hypertension


Stage of the organic changes

- Secondary changes in organs: Atrophy ofparenchyma &


sclerosis of stroma

- Acute changes: Infarction, hemorrhage


COMPLICATIONS

1.Thrombosis
2. Ulceration of the endothelium
3. Hemorrhage
4. Aneurysm

You might also like