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Causes of Hypertension
In 90 percent to 95 percent of people, it is difficult to pinpoint the exact cause of hypertension. In these individuals, the condition is called primary hypertension. When hypertension has an identifiable cause, it is called secondary hypertension. About 5 percent of people with hypertension fall into this category.
Some people have white coat hypertension--high blood pressure readings that are present only when they are examined by a physician. Whether to treat white coat hypertension with antihypertensive medication is a controversial question. Many specialists believe that people with white coat hypertension who do not have other risk factors for cardiovascular disease (such as high cholesterol levels or diabetes) do not need to take medication. Instead, they should adopt lifestyle measures such as eating a healthy diet and exercising regularly. However, the general consensus is that people with white coat hypertension who have organ damage from hypertension (for example, kidney or heart disease) need treatment with medication.
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