What are the differences between secondary hypertension and primary hypertension?

Patient's question:

Doctor, my mom hasn't been feeling well these days, experiencing chest tightness. She went to the children's hospital for consultation and was told that her blood pressure might be a bit high. They measured her blood pressure, and the results showed that it was indeed high. I searched online for information about high blood pressure and found that there are secondary hypertension and primary hypertension. Doctor, what are the differences between secondary hypertension and primary hypertension?

Doctor's answer:

Secondary hypertension is a condition where high blood pressure occurs again due to other diseases, while primary hypertension is high blood pressure with an unclear cause. Generally, secondary hypertension has significantly higher blood pressure levels and is often difficult to control with antihypertensive medications. It usually requires the use of dual or even triple combinations of antihypertensive drugs. In contrast, primary hypertension with a shorter history tends to respond well to medication control. Yes, for secondary hypertension, once the underlying disease is resolved, the high blood pressure condition may alleviate.

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