Patient Question: Disease: Hypertension Description: Blood pressure without medication is 150/110, after taking the blood pressure back to normal, want to check in to see if there is a cause, no family history of disease. Hope to provide help: what other tests are needed to find out the cause? The hospital department: cardiovascular medicine department of Kunshan Zongrenqing Hospital Medication: Drug name: Olmesartanate tablets Dosing instructions: one 20mg tablet a day Drug name: blood clearing brain granules Dosing instructions: 3 packs a day Reply: Hello, hypertension is divided into primary hypertension and secondary hypertension, secondary hypertension is due to some diseases of the kidneys, glucocorticoid changes in the body, geriatric medicine department of the First Affiliated Hospital of Nanjing Medical University. Secondary hypertension is caused by some diseases of the kidney, glucocorticoid hormone changes in the body, aortic constriction and other diseases that cause a secondary increase in blood pressure, if the primary factors are not blocked, hypertension is more difficult to control; while primary hypertension is mainly based on elevated blood pressure as the main clinical manifestation, with or without a variety of cardiovascular risk factors, affected by age, environment, genetics, obesity and other factors, it is not clear that hypertension is caused by a specific factor. You are currently taking medication to restore normal blood pressure control, I suggest that you can regularly follow up with the cardiology clinic, if necessary, some tests to assess the condition!