Sudden hypertension 220 is primary or secondary hypertension?

Question
Hello doctor,
I have a sudden increase in blood pressure of 220. The doctor told me that sudden increase in blood pressure of 220 is primary or secondary hypertension? My job is to drive, should I continue this job? I have a habit of smoking, drinking alcohol but not often. Please advise, thank you doctor.
Hoang Khuong (1980)
Answer
Answered by Master, Doctor Dao Kim Phuong - Cardiologist and echocardiogram - Department of Examination, Vinmec Times City International General Hospital.
Hello,
With the question “Sudden hypertension 220 is primary or secondary hypertension? ", the doctor would like to answer as follows:
You are 41 years old, your blood pressure has been normal, but now suddenly rises to 220, it is a sign of secondary hypertension (with a cause).
With such high blood pressure, you should not drive because driving is stressful work, requires high concentration, need to bring blood pressure to a relatively normal level after a few days, monitor for symptoms If you are stable and have medication to maintain normal blood pressure, you can continue driving.
Alcohol use and smoking have a huge impact on high blood pressure because both have a big impact on heart health and blood pressure thresholds. Smoking can dramatically increase blood pressure and increase systolic blood pressure even more. The nicotine in cigarettes stimulates the nervous system to produce chemicals that constrict blood vessels and raise blood pressure. Smoking also causes long-term damage to blood vessels, increasing the risk of developing problems such as stroke, heart disease, and heart attack.
Heavy or regular drinking can damage the heart and lead to heart muscle diseases that cause heart failure. Regular alcohol consumption also increases blood pressure. Alcohol stimulates and increases the release of endothelin 1,2 and angiotensin II, known to be potent vasoconstrictors of blood vessels, thereby increasing blood pressure. Drunk – drinking four or more drinks for women and five or more drinks for men in a few hours – can lead to strokes, arrhythmias and possibly sudden death.
In addition, the combination of smoking and high blood pressure increases the risk of heart disease, stroke or other cardiovascular events compared with non-smokers with high blood pressure.
To control blood pressure and prevent cardiovascular problems, it is best to stop smoking, pipe tobacco, drink alcohol in moderation, should not drink more than one drink a day for women and should not more than two drinks per day for men. If you reduce your alcohol consumption, research shows you can reduce your systolic blood pressure by up to 3 mmHg.
If you still have questions about sudden hypertension 220 is primary or secondary hypertension, you can go to the hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wish you a lot of health.
Best regards!