What examination and tests are done to find out the cause of high blood pressure?

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Hello doctor. Please consult your doctor about high blood pressure in young people.
I had a general examination 1 week ago, the tests were normal, but the electrocardiogram showed that I had ischemic heart disease and my blood pressure was high, when measured at the hospital it was 140-150. The doctor diagnosed me with high blood pressure of unknown cause. So, please help me, how do I know the cause of high blood pressure? What examinations and tests are needed to find out the cause of high blood pressure? And the doctor told me to take this disease for the rest of my life and does the medicine have any side effects? Thank you doctor.
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Answer
Hello there. High blood pressure at your age is called young (under 35) hypertension. This is a fairly common form of disease today with an incidence of about 5% - 12%. High blood pressure causes many adverse effects on health and work performance. According to many studies, hypertension in young people causes early formation of atherosclerosis and early progression of cardiovascular diseases. Therefore, early detection and early treatment of hypertension in young people contribute to preventing complications and limiting risk factors for cardiovascular disease.
Causes of hypertension in the elderly have up to 95% of cases without cause, only about 5% have a cause. However, in young people, the rate of hypertension with cause is higher than in the elderly. Possible causes are chronic kidney disease, hormonal imbalance, heavy alcohol use... In addition, the factors that contribute to high blood pressure are smoking (including passive smoking). ), obesity, stress, sedentary lifestyle, overeating, drinking a lot of alcohol.
For your case, the doctor needs to do a full assessment, consider doing more tests to find more causes of high blood pressure. For example: Magnetic resonance angiography of the kidneys and upper abdominal cavity, testing for adrenal hormones, ...
In case you are concluded: true hypertension, your doctor will help you control your blood pressure. with medicine and a reasonable diet and lifestyle. You will be advised to have regular checkups and instructions on monitoring and managing your blood pressure at home.
You can go to a hospital of Vinmec Health System to be examined and consulted by specialist doctors.
Thank you for trusting and sharing your concerns with the question "What tests and tests to do to know the cause of high blood pressure?" to Vinmec. Wishing you good health always.
Answered by Doctor Le Duc Hiep - Internal Medicine and Cardiovascular Interventionist - Cardiovascular Center - Vinmec Times City International General Hospital.

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