The x-ray and ct manifestations of primary hypertension vary from person to person and are patient-specific, including left ventricular hypertrophy, left ventricular enlargement, pulmonary venous hypertension, and cardiac augmentation. Hypertension is a systemic disease characterized by elevated arterial pressure in the circulation, and can be divided into two types: primary hypertension and secondary hypertension, with primary hypertension accounting for more than 95% of cases. As the causes of this disease are complicated, which may be related to genetic and environmental factors, different patients will have different X-ray and ct manifestations. 1. Left ventricular myocardial hypertrophy: if the patient’s disease duration is short and the condition is not very serious, then left ventricular myocardial hypertrophy phenomenon will occur, which is specifically manifested in the left ventricle of the rounded or convex. 2. Left ventricular enlargement: if the patient’s blood pressure is high and the disease duration is long, then there will be obvious left ventricular enlargement. 3. Pulmonary venous hypertension: due to the left heart function is affected, the patient will have pulmonary stasis, interstitial pulmonary edema and other high pulmonary venous pressure manifestations. 4. Increased heartbeat: with the development of the disease, the patient’s heartbeat will generally be increased, and accompanied by the weakening of the left marginal beat. In this regard, patients should be treated under the guidance of doctors, and take some antihypertensive drugs, such as nifedipine, amlodipine, etc., and strengthen daily care to prevent the occurrence of various complications, such as hypertensive nephropathy, coronary heart disease and diabetes mellitus.