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A look at the causes of high blood pressure
There are two types of high blood pressure - essential (or primary)
hypertension and secondary hypertension. When a patient's high blood pressure
has no known or identifiable
causes, he or she is said to have essential
hypertension. Secondary hypertension refers to high blood pressure that occurs
as a result of other problems like tumors, kidney disorders, etc. Of the two,
essential hypertension is far more common.
Hypertension is often associated with one or more environmental or other
factors. What follows is a look at the factors that have the ability to affect
blood pressure levels.
The most well known factor is sensitivity to sodium. It has been estimated that
fully 60% of those with essential hypertension respond positively to reduction
in salt intake. High salt intake changes the sodium-potassium balance in the
body. This results in the body drawing more water, which in turn causes greater
pressure within the blood vessels.
Limiting salt consumption is one of the first things the doctor will advise
hypertensive patients to do. Excess salt consumption may be one of the common
causes of high blood pressure. However, many people who consume plenty of salt
do not develop hypertension.
Genetics plays a significant role in this condition and it thought to be among
the causes of high blood pressure. Several studies - on animals and human beings
- show that there are many different genetic factors that contribute to
hypertension. In other words, this condition is not the result of just one
single genetic defect. Well over fifty genes have been studied for their
connection with high blood pressure.
Insulin resistance is thought to play a role in developing elevated blood
pressure. Insulin is secreted by the pancreas and it regulates the levels of
glucose in the body through a complex process involving negative feedback
mechanisms. Insulin has vasodilatory effects, which should normally act to lower
blood pressure. In some cases, other processes may negate these vasodilatory
properties and can cause elevated blood pressure. Insulin resistance is
considered to be one of the causes of high blood pressure in certain
individuals.
The kidneys secrete a hormone called renin. High renin levels act to increase
blood pressure. It creates vasoconstriction and causes sodium to be reabsorbed
in the kidneys. Higher sodium levels correlate with elevated blood pressure. At
the same time, many patients with hypertension have low levels of renin. This is
particularly true of African Americans. These patients often respond well to
diuretic drugs to lower blood pressure.
Sleep apnea can be one of the causes of high blood pressure. Patients with apnea
have their sleep interrupted a few hundred times each night due to a temporary
cessation of breathing. This continual interference with sleep disrupts the
normal sleep cycles and the patient does not spend enough time in deep,
restorative sleep. This causes many health problems, one of which is high blood
pressure.
Age is often a factor behind hypertension. As a person ages, the walls of the
arteries and arterioles become layered with increasing amounts of collagen
fibers. This results in the blood vessels losing their elasticity. The fiber
accumulation also results in a decrease in the cross section area of blood
vessels. These vessels therefore have a lower volume to transport blood through,
which causes blood pressure to go up.
The final causes of high blood pressure are not fully understood. Ongoing
research efforts continue to extract more clues about what underlies this
dangerous condition.
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