Differentiation of primary hypertension and secondary hypertension

 
Wang Shi, Department of Geriatrics, Peking University Shenzhen Hospital, Primary Hypertension
Secondary hypertension

Age
Prevalent in middle-aged and elderly
Prevalent in young people

Family history
Yes
No

Risk factors
Hyperlipidemia, hyperglycemia, obesity
May not have

Intra-arterial plaque

Primary disease
None
secondary to pheochromocytoma, primary aldosteronism

Cushing’s syndrome, renal artery stenosis

aortic stenosis, multiple aortitis

Treatment
Antihypertensive drugs are effective
Antihypertensive drugs are ineffective, need to treat the original disease