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Obtaining a medical history is always the first "test", part of understanding the likelihood of significant disease, as detectable within the current limitations of clinical medicine. Yet heart problems often produce no symptoms until very advanced, and many symptoms, such as palpitations and sensations of extra or missing heart beats correlate ...
The definition includes heart failure and other cardiac complications of hypertension when a causal relationship between the heart disease and hypertension is stated or implied on the death certificate. In 2013 hypertensive heart disease resulted in 1.07 million deaths as compared with 630,000 deaths in 1990.
On average, women develop CVD approximately 10 years after their male counterparts. [101] In the United States, approximately 6% of women over 20 have coronary heart disease. [103] The highest prevalence of CVD is present in adults over the age of 80, and women and men have similar rates of disease after the age of 60. [99]
[2] [3] [4] [12] Hypertension is a major cause of premature death worldwide. [13] High blood pressure is classified as primary (essential) hypertension or secondary hypertension. [5] About 90–95% of cases are primary, defined as high blood pressure due to nonspecific lifestyle and genetic factors. [5]
Essential hypertension (also called primary hypertension, or idiopathic hypertension) is a form of hypertension without an identifiable physiologic cause. [1] [2] It is the most common type affecting 85% of those with high blood pressure. [3] [4] The remaining 15% is accounted for by various causes of secondary hypertension. [3]
High blood pressure usually does not cause symptoms. [63] Long term high blood pressure, however, is a major risk factor for coronary artery disease, stroke, heart failure, peripheral vascular disease, vision loss, and chronic kidney disease. [64] [65] Lifestyle factors can increase the risk of hypertension.
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The prevalence of labile hypertension in USA is estimated to have more than 40 million adults which can develop the risks of hemorrhagic stroke. [15] Labile hypertension is most common in Charlottesville, Virginia with up to 11% of the population. Average age who have labile hypertension is 64±13 years. [16]