I get a lot of inquiries on my WeChat public website every day, and a big part of them are about hypertension. This time, I found that many hypertensive patients are not too old, from 15, 16 all the way to 30, 40 years old, no age group has been left behind. An 18-year-old girl in my circle of friends also has hypertension, and I’ve been giving her daily medication since she was so young, but I haven’t had time to give her a clear explanation of what’s involved. So today, I’m here to talk about hypertension in adolescents. What is hypertension? What is hypertension in adolescents and even in children? Hypertension is divided into primary and secondary. In adults, primary hypertension accounts for the majority of cases. Primary hypertension is the result of the interaction of multiple genetic and environmental factors that are very complex. For this type of hypertension, there is no “cure” or “root cause” as many gurus and doctors call it. The most important thing is to control the blood pressure value well by maintaining the medication, and to prevent and slow down the target organ damage. What are target organs? Hypertension likes to play target with human organs, what the heart, brain, kidneys, eyes, etc., everything to hit, but also must be accurate, accurate and very hard! This guy can not get rid of, can only use drugs to suppress it, so that it has no gas to do damage, so the body’s organs are also protected. Secondary hypertension is completely different, when hypertension is only a manifestation of another disease, if the primary disease is cured or controlled, hypertension has a good chance to disappear naturally. There are many primary causes of secondary hypertension, including endocrine disorders such as thyroid, adrenal, and pituitary, diseases of the renal parenchyma, diseases of the renal arteries, diseases of the aorta, diseases of the blood system, and heterogeneous causes such as obstructive sleep apnea syndrome. Finally, it is worth mentioning that many drugs can raise blood pressure and trigger drug-associated hypertension, which should be ruled out at the earliest. Since hypertension occurs particularly early in young babies and children, prevention and treatment should also follow suit and be “particularly early”! In this age group, secondary hypertension is common, and secondary hypertension is characterized by an obvious increase in blood pressure, even with the symptoms of hypertension as the first manifestation, and some children also have the manifestations of the corresponding primary disease, but none of them are specific. For example, small infants may have pallor, restlessness, feeding difficulties, excessive sweating, easy frightening, growth retardation, etc., while older children may complain of dizziness, headache, palpitations, nausea and other discomforts, and in severe cases, vomiting, blurred vision or even convulsions and other signs of hypertensive crisis! For them, the most common primary causes are often chronic kidney disease and congenital anomalies in renal vascular development, followed by aortic constriction, pheochromocytoma, cortisolosis syndrome, hyperthyroidism, obstructive apnea syndrome, connective tissue disease, and drug factors. As soon as there are signs, seek medical attention to determine; as soon as it is determined, start treatment! In contrast, adolescents with primary hypertension have an insidious onset and slow development, with mild to moderate elevation of blood pressure, usually with subclinical manifestations, often detected only through physical examination and easily missed. This part of hypertension is mainly due to mental stress, overweight and obesity, hyperlipidemia and other factors. Nowadays, children love to eat fried food and drink sugary drinks, and they eat and drink a frighteningly large amount, and obese children are becoming more and more common, which is exactly what sows the seeds for hypertension to occur in adolescence. At the same time, work pressure from adolescence is frighteningly high (I understand ……), but also for the occurrence of hypertension is an important trigger. It is especially important to be alert to the fact that if there is a purely familial history of hypercholesterolemia, type I diabetes, a history of chronic kidney disease, Kawasaki disease, congenital heart disease, a history of heart transplantation and tumor disease, this group is prone to lipid metabolism disorders and hypertension, leading to a significant increase in the incidence of atherosclerosis, and requires early and close monitoring of lipids and blood pressure. Regarding prevention and treatment, the general rule is one sentence: low-salt, low-fat, low-sugar diet, reasonable exercise, reduction of mental stress, and reasonable use of medication. For secondary hypertension, treat the primary disease aggressively! Primary hypertension, once diagnosed, should be treated with a combination of lifestyle changes and medications, neither of which should be neglected. If someone tells you, “How can a young person have high blood pressure, even if he lives an unhealthy life, he can still carry it!” This is his ignorance, please share this article with Ta. If someone tells you, “High blood pressure take my medicine, you can treat the root of the disease, no more drugs, completely cured!” By now you already know that, except for secondary hypertension, the vast majority of primary hypertension requires lifelong maintenance medication, and the side effects are manageable to a minimum with reasonable drug choices and far less than the clinical benefit. So, this guy is definitely a liar! These days, medication management is a mess and 315 is not reliable anymore (hehehe), and after we’ve talked together here, I know you’re definitely not going to fall for it.