Malignant hypeension can lead to all of the following except: - March 2007: (A) Hypeensive retinopathy, (B) Respiratory failure, (C) Renal failure, (D) Hemolytic blood picture
Answer is B. Ans. B: Respiratory failure Essential hypeension indicates that no specific medical cause can be found to explain a patient's condition. Secondary hypeension indicates that the high blood pressure is a result of (i.e., secondary to) another condition, such as kidney disease or tumours (pheochromocytoma and paraganglioma). Etiology of secondary hypeension Renal hypeension -This includes diseases such as polycystic kidney disease, chronic glomerulonephritis or renovascular hypeension; due to stenosis of a main or branch renal aery. Adrenal hypeension- primary aldosteronism, Cushing syndrome, pheochromocytoma Coarctation of the aoa Drugs-NSAIDS (Ibuprofen) and steroids can cause hypeension. Rebound hypeension-High blood pressure that is associated with the sudden withdrawal of various antihypeensive medications. Drugs commonly associated with rebound hypeension include centrally-acting antihypeensive agents, such as clonidine and beta-blockers. Complications: Cerebrovascular accident Myocardial infarction Hypeensive cardiomyopathy Hypeensive retinopathy Hypeensive nephropathy Hypeensive encephalopathy