Is hypertensive nephropathy hypertension?

Written by Niu Yan Lin
Nephrology
Updated on June 23, 2025
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Hypertensive nephropathy is a complication of hypertension, which is classified into primary hypertension and secondary hypertension. In primary hypertension, if the blood pressure is not well controlled over time, remaining above 90-140 mmHg, hypertensive kidney damage generally appears after more than five years. This is manifested as benign arteriolar nephrosclerosis. At this stage, patients may experience increased nocturia, and in severe cases, proteinuria or even elevated creatinine levels may occur. Conversely, patients with malignant hypertension often experience kidney damage in a short period of time, which can quickly progress to renal failure, leading to uremia.

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Is high diastolic pressure considered high blood pressure?

If the diastolic blood pressure exceeds 90 mmHg, hypertension should also be considered. Patients with a high diastolic blood pressure who do not actively undergo hypotensive treatment can suffer long-term damage to target organs such as the heart, brain, and kidneys, as well as severe hypertensive complications. For patients with high diastolic blood pressure, it is also necessary to adopt effective lifestyle adjustments and choose clinically frontline antihypertensive drugs for long-term treatment. Only by effectively controlling elevated diastolic pressure in the long term can severe target organ damage and hypertensive complications be avoided, thus improving the clinical prognosis for patients with hypertension.

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What can you eat to lower high blood pressure?

Patients with hypertension may experience some reduction in blood pressure by consuming certain vegetables and fruits, such as celery, winter melon, spinach, kiwifruit, hawthorn, and bananas. Additionally, drinking some types of tea, like kuding tea, Eucommia tea, Apocynum tea, and kudzu root tea, can also help lower blood pressure. However, these effects are not very strong and these items should not be relied upon for blood pressure treatment. Patients with hypertension need to adopt standardized treatment methods for long-term blood pressure control, actively improve their lifestyle, and choose appropriate first-line antihypertensive medications for long-term treatment. It is essential to maintain blood pressure control to prevent adverse outcomes caused by hypertension and improve prognosis.

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What is hypertension?

Hypertension is characterized by elevated arterial blood pressure in the systemic circulation, and may be accompanied by functional or organic damage to organs such as the heart, brain, and kidneys. Hypertension can be divided into primary hypertension and secondary hypertension. Secondary hypertension is due to certain identified causes or etiologies, leading to increased blood pressure, accounting for about 5% of all hypertension cases. Conditions like primary aldosteronism, pheochromocytoma, renovascular hypertension, and renin-secreting tumors are examples, and cases where the cause of increased blood pressure cannot be found are also referred to as primary hypertension and hypertensive disease. Currently, the classification and standard for blood pressure in China mostly use a systolic pressure of greater than or equal to 140 mmHg and/or a diastolic pressure of greater than or equal to 90 mmHg.

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Symptoms of hypertension

Hypertension is a common and frequently occurring disease clinically. Mild hypertension often has no clinical symptoms and is usually detected during physical examinations when measuring blood pressure reveals an increase. In cases of severe hypertension, individuals with long-term high blood pressure may experience dizziness, a feeling of pressure in the head, and headaches. In serious cases, symptoms can include tinnitus and palpitations, requiring the use of effective antihypertensive medications for management. If patients with hypertension do not use medications to manage their condition, long-term high blood pressure can cause significant harm to the body, leading to cardiovascular and cerebrovascular diseases, hypertension-induced heart disease, and stroke. (Please use medications under the guidance of a doctor.)

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The difference between hypertensive emergency and hypertensive encephalopathy.

The so-called hypertensive emergency is a condition where blood pressure rises very quickly, reaching a very high level in a short period of time. At this time, it does not necessarily lead to hypertensive encephalopathy, which is a more dangerous condition. Hypertensive encephalopathy indicates that due to the rapid rise in blood pressure, the pressure in the brain's blood vessels becomes excessively high. This pressure causes cerebral edema. At this point, because the blood pressure is higher than the brain's perfusion pressure, the brain becomes swollen, which is extremely dangerous. If the swelling is severe, it may lead to brain herniation, which can be fatal. Therefore, relatively speaking, hypertensive encephalopathy is much more serious than a hypertensive emergency and represents a dangerous stage of progression within a hypertensive crisis. Thus, hypertensive encephalopathy is a very dangerous condition and is one of the most critical manifestations within a hypertensive emergency.