A member asked:

A patient having polycysitc kidney disease associate with hypertension, do we call this secondary hypertension&is it due to cysts this bp elevation?

3 doctors weighed in across 3 answers

Good question: Combination of hypertension and abdominal mass is suggestive of pkd. Fifty percent of patients will have hypertension at time diagnosis is made of PKD and will develop in most patients during the course of the disease. It is of interest to note that decompression of the cysts can lower blood pressure temporarily.

Answered 9/28/2016

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Dr. Robert Grieco answered

Specializes in Family Medicine

Yes: Secondary means that the cause of the high BP is because of another problem. In your case poly cystic kidney disease is most likely the primary problem. At any the longevity of your kidneys will depend in great part on excellent BP control. That means systolic almost always below 130 and rather more like 120 diastolic below 80. Good health.

Answered 6/10/2014

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PKD and HIBP: PKD causes hypertension in most affected persons. This is not secondary hypertension in the classical sense; this evolves from cysts, cyst compression of arteries, elevation of renin and angiotensin, and salt retention; meds help; low salt helps; avoid saturated fats; drink 4-5 liters fluid per day; avoid caffeine.

Answered 11/14/2016

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