High blood pressure may be caused by various factors such as genetics, environmental factors, physiological factors, trauma, or pathology, and needs to be controlled through medication treatment, lifestyle adjustments, and other methods.
1. Genetic factors play an important role in the onset of hypertension. People with a history of hypertension in their family are more susceptible to the disease, and genetic variations may lead to abnormal vasoconstriction or decreased kidney sodium excretion. It is recommended that individuals with a family history regularly monitor their blood pressure and take preventive measures.

2. Environmental factors include high salt diet, lack of exercise, smoking, and alcohol consumption. High salt diet will lead to excessive sodium ions in the body, causing water and sodium retention, increasing blood volume and blood pressure. Lack of exercise can lead to decreased vascular elasticity and increased peripheral resistance. Smoking and drinking can directly stimulate blood vessel constriction, leading to an increase in blood pressure. Reducing salt intake, increasing exercise, quitting smoking and limiting alcohol consumption are key to improving blood pressure. 3. Physiological factors such as aging, obesity, and excessive stress can also lead to hypertension. As age increases, vascular elasticity decreases and blood pressure naturally increases. Obesity increases the burden on the heart, leading to elevated blood pressure. Long term excessive stress can activate the sympathetic nervous system and cause vasoconstriction. Controlling weight and relieving stress can help lower blood pressure. 4. Trauma such as head injury may lead to increased intracranial pressure, indirectly affecting blood pressure. Pathological factors include kidney disease, endocrine disease, and cardiovascular disease. Kidney disease can lead to retention of water and sodium and activation of renin angiotensin system, resulting in increased blood pressure. Endocrine diseases such as hyperthyroidism can accelerate metabolism and increase the burden on the heart. Cardiovascular diseases such as arteriosclerosis can reduce vascular elasticity and increase peripheral resistance. Treating the primary disease is an important measure to control blood pressure.
5. Drug therapy is an important means of controlling hypertension. Common medications include diuretics, calcium channel blockers, and angiotensin-converting enzyme inhibitors. Diuretics reduce blood volume by promoting sodium excretion. Calcium channel blockers reduce peripheral resistance by dilating blood vessels. Angiotensin converting enzyme inhibitors lower blood pressure by inhibiting angiotensin production.

6. Lifestyle adjustments include dietary control and exercise. In terms of diet, it is recommended to adopt the DASH diet, which is rich in fruits, vegetables, whole grains, and low-fat dairy products, and limits the intake of saturated fat and cholesterol. In terms of exercise, it is recommended to engage in at least 150 minutes of moderate intensity aerobic exercise per week, such as brisk walking, swimming, or cycling. Regular monitoring of blood pressure, taking medication according to medical advice, and maintaining a healthy lifestyle are key to controlling hypertension. For patients with persistent hypertension or other symptoms, timely medical attention should be sought for comprehensive examination and treatment.

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