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Диагноз ставится, когда показатели давления стабильно превышают **140/90 мм рт. ст.** в покое [1](https://www.smclinic-ryazan.ru/about/diseases/arterialnaya-gipertenziya/)[4](https://PhleboCentr.ru/zabolevaniya/arterialnaya-gipertenziya/). Единичные повышения давления ещё не говорят о патологии — диагноз ставится только на основании регулярных измерений [1](https://www.smclinic-ryazan.ru/about/diseases/arterialnaya-gipertenziya/). \n\nВыделяют **первичную (эссенциальную) и вторичную (симптоматическую) гипертензию** [1](https://www.smclinic-ryazan.ru/about/diseases/arterialnaya-gipertenziya/)[8](https://mrtshka.ru/articles/arterialnaya-gipertenziya-prichiny-simptomy-i-lechenie-gipertonii/): \n- **Первичная** — развивается без явной причины, постепенно [1](https://www.smclinic-ryazan.ru/about/diseases/arterialnaya-gipertenziya/). \n- **Вторичная** — является следствием других заболеваний, таких как болезни почек, надпочечников, щитовидной железы [1](https://www.smclinic-ryazan.ru/about/diseases/arterialnaya-gipertenziya/).\n\n\n\n## Причины\nНекоторые факторы, которые могут способствовать развитию артериальной гипертензии: \n* **Наследственная предрасположенность** — если у близких родственников наблюдалось повышенное давление, риск увеличивается [1](https://www.smclinic-ryazan.ru/about/diseases/arterialnaya-gipertenziya/). \n* **Возраст** — с возрастом сосуды теряют эластичность, что способствует развитию патологии (особенно после 45 лет) [1](https://www.smclinic-ryazan.ru/about/diseases/arterialnaya-gipertenziya/). \n* **Образ жизни**: неправильное питание с избытком соли, жиров и полуфабрикатов, избыточный вес, низкий уровень физической активности, курение, частое употребление алкоголя, хронический стресс [1](https://www.smclinic-ryazan.ru/about/diseases/arterialnaya-gipertenziya/). \n* **Длительный приём определённых лекарственных препаратов** — например, противозачаточных средств или противовоспалительных препаратов [1](https://www.smclinic-ryazan.ru/about/diseases/arterialnaya-gipertenziya/).\n\n## Симптомы\nЗаболевание может протекать бессимптомно в течение многих лет [1](https://www.smclinic-ryazan.ru/about/diseases/arterialnaya-gipertenziya/)[11](https://doctor-r.ru/blog/gipertenziya-porazhenie-serdca-bez-serdechnoj-nedostatochnosti/). Некоторые признаки: \n* регулярные головные боли, особенно в затылочной области [1](https://www.smclinic-ryazan.ru/about/diseases/arterialnaya-gipertenziya/); \n* головокружение, шум в ушах [1](https://www.smclinic-ryazan.ru/about/diseases/arterialnaya-gipertenziya/); \n* быстрая утомляемость [1](https://www.smclinic-ryazan.ru/about/diseases/arterialnaya-gipertenziya/); \n* проблемы со сном [1](https://www.smclinic-ryazan.ru/about/diseases/arterialnaya-gipertenziya/); \n* мелькание «мушек» перед глазами [1](https://www.smclinic-ryazan.ru/about/diseases/arterialnaya-gipertenziya/); \n* ощущение напряжения в груди и учащённое сердцебиение [1](https://www.smclinic-ryazan.ru/about/diseases/arterialnaya-gipertenziya/). \n\nНа поздних стадиях появляются признаки поражения органов-мишеней: сердца, мозга, почек и глаз [11](https://doctor-r.ru/blog/gipertenziya-porazhenie-serdca-bez-serdechnoj-nedostatochnosti/).\n\n## Диагностика\nПри подозрении на артериальную гипертензию необходимо обратиться к терапевту или кардиологу [8](https://mrtshka.ru/articles/arterialnaya-gipertenziya-prichiny-simptomy-i-lechenie-gipertonii/). Некоторые методы диагностики: \n* **Измерение давления** — одного измерения давления для постановки диагноза недостаточно, необходимо получить как минимум два результата в разные дни [8](https://mrtshka.ru/articles/arterialnaya-gipertenziya-prichiny-simptomy-i-lechenie-gipertonii/). \n* **Опрос** — врач выясняет, на что жалуется пациент, какие у него есть заболевания, есть ли среди родственников гипертоники [8](https://mrtshka.ru/articles/arterialnaya-gipertenziya-prichiny-simptomy-i-lechenie-gipertonii/). \n* **Лабораторные исследования** — общие анализы крови и мочи, биохимический анализ крови [13](https://www.smclinic.ru/diseases/gipertenziya/).\n\n## Лечение\nВыбор лечения зависит от стадии заболевания и вероятности осложнений [17](https://gemotest.ru/info/spravochnik/zabolevaniya/arterialnaya-gipertenziya-gipertoniya/). Некоторые методы: \n* **Немедикаментозная терапия** — коррекция образа жизни: наладить питание, увеличить физическую активность, нормализовать эмоциональное состояние [17](https://gemotest.ru/info/spravochnik/zabolevaniya/arterialnaya-gipertenziya-gipertoniya/). \n* **Медикаментозное лечение** — немедленно требуется всем пациентам с гипертонией 2-й и 3-й степени и всем пациентам с гипертонической болезнью в сочетании с высоким риском сердечно-сосудистых осложнений [17](https://gemotest.ru/info/spravochnik/zabolevaniya/arterialnaya-gipertenziya-gipertoniya/). 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