May 31, 2023 A few facts to be aware of Many people with high blood pressure dont even know they have it. A person cannot change his or her, Hypertension can lead to the following EXCEPT and more. It is important to identify relevant confounders and remove the confounding effect as much as possible. A number of important causal factors for hypertension have been identified, including excess body weight; excess dietary sodium intake; reduced. Media file 1 Parts of the eye. Other causes of the condition, such as medication use or a high body weight, could be prevented through lifestyle changes and awareness of potential side effects of medications. Hypertension, also known as high or raised blood pressure, contributes to the burden of heart disease, stroke and kidney failure and premature mortality and disability. can be prevented with a vaccination. Left heart diseases, such as left heart failure, which may be caused by high blood pressure throughout your body or coronary heart disease. Fatigue, especially during times of increased activity. Apr 6, 2016 Hypertension can be prevented by all of the above. Pregnancy B. Saturated fats come from animal products (such as cheese, fatty meats, and dairy desserts) and tropical oils (such as palm oil). Foods in the DASH diet are rich in the minerals potassium, calcium and magnesium. some types of cancer, such as breast cancer and bowel cancer. Regular participation in physical activity reduces the need for a balanced diet. Poorly controlled high blood pressure can result in injury to the brain, eyes, heart, lungs, kidneys, liver and other major organs. Research shows that a diet. When you have high blood pressure, the heart has to work harder to pump blood. If your blood pressure is high, you need to lower it and keep it under control. Accordingly, diabetes and hypertension are closely interlinked because of similar risk factors, such as endothelial dysfunction, vascular inflammation, arterial remodelling, atherosclerosis, dyslipidemia, and obesity. Eat less cholesterol and saturated fat. A buildup of fats, cholesterol, and other substances in and on the artery walls (atherosclerosis) can cause elevated blood pressure. Lowering blood pressure can help prevent kidney damage and have a positive effect on other aspects of health. the invasion of the. It disproportionately affects populations in low- and middle-income countries where health systems are weak. Compare and contrast aerobic physical activity with anaerobic physical activity. What is the threshold of having hypertension. Jan 1, 2023 Hypertension is the medical term used to describe high blood pressure. Recent epidemiologic evidence has demonstrated a consistent, temporal, and dose-dependent relationship between physical activity and the development of hypertension. higher energy levels D. Using a pedometer can promote a physically active lifestyle. Foods in the DASH diet are rich in the minerals potassium, calcium and magnesium. Reducing the risk of one of the diseases has no noticeable impact on the risk of the others. No matter how calm the three of them were before at this moment at the moment when they were truly determined to win the championship they could no longer suppress their. has high blood pressure, or hypertension. What 5 diseases can hypertension cause Stroke ischaemic heart failure, Renal failure,. P control rate is only 35 among all hypertensive patients. What you can do to help prevent cholesterol Limit foods high in saturated fat. Reducing the risk of one of the diseases has no. Some causes of secondary hypertension, such as tumors or abnormal blood vessel structures, cannot be prevented. Diabetes Mellitus E. Lose weight. The major findings (January 2018March 2021) and their relevance to. The flagella of many sperm must beat against the zona pellucida of the oocyte to destroy it before a single sperm can penetrate. What 5 diseases can hypertension cause Stroke ischaemic heart failure, Renal failure,. More frequent measurement may be needed for those with a history of high blood pressure readings or those with risk factors for high. Occasionally, severe high blood pressure can cause the brain to swell, resulting in nausea, vomiting, worsening headache, drowsiness, confusion, seizures, sleepiness, and even coma. Regular participation in physical activity prevents an individual from developing certain diseases. depression C. Primary and secondary high blood pressure (hypertension) can co-exist. Steps for the primordial prevention of heart disease. Reduced sodium intake can also prevent hypertension (relative risk reduction of about 20 with or without concomitant weight loss) 90, improve hypertension control 117 and thus, possibly, reduce need for. 1 4. Also called hypertension, this condition forces the heart to work harder than it should to pump blood through the body. Regular participation in physical activity reduces the risk of developing various diseases. All of the above. cystic fibrosis. In November, 2017, new United States guidelines lowered the threshold for diagnosing the condition. evaluate preventive steps. certain disease states, such as. Kim A. In the US, hypertension is the most common primary diagnosis with 35. Your blood pressure reading has 2 numbers. This leads to MI, heart failure, renal failure, strokes, and impaired vision. Many of those people don't know they have it, because there are usually no warning signs. How can regular participation in physical activity improve an individual&39;s overall health A. This leads to an ability to fall asleep more quickly, a better quality of sleep, and improved length of sleep. Systolic Pressure. Also called a heart scan, this test uses computerized tomography (CT) imaging to create detailed pictures of the heart. The damage is like the damage from long-term high blood pressure. When combined with cholesterol deposits in the blood vessels, the risk of heart attack and stroke increases. Jan 25, 2019 Other cirrhosis causes include nonalcoholic fatty liver disease. Stress can cause a steep rise in blood pressure. Exercise regularly. Reducing the risk of one of the diseases has no. Recent epidemiologic evidence has demonstrated a consistent, temporal, and dose-dependent relationship between physical activity and the development of hypertension. But drinking too much alcohol can raise blood pressure by several points. It also increases levels of triglycerides, a fatty substance in the blood which can increase the risk for heart disease. B. This means the heart has to work much harder to keep the blood circulation going. There are two basic types of impressionspatent and latent. One of the most well-known dietary strategies for lowering blood pressure is the Dietary Approaches to Stop Hypertension (DASH) pattern , which significantly reduced. regular exercise C. " Dr. Nearly 94 million adults over the age of 20 have what could be considered borderline high cholesterol, yet as with hypertension many patients are unaware of it until they visit their doctor. Infection Control for Cholera in Health Care Settings. Malaria is a life-threatening disease spread to humans by some types of mosquitoes. Signs and symptoms of excessive blood clotting depend on where the clots form. Eat healthy food. Some women have high blood pressure during pregnancy. Over time, high blood pressure can damage the arteries and increase the risk of kidney disease, stroke, and heart attack. Chronic hypertension is defined as blood pressure exceeding 14090 mm Hg before pregnancy or before 20 weeks' gestation. The heart contracts and moves a bolus of blood into the aorta and the large vessels beyond. May 31, 2023 A few facts to be aware of Many people with high blood pressure dont even know they have it. Conditions and medications that can. For most people, untreated chronic high blood pressure will slowly but steadily do its damage over time. taking additional readings if the first two readings differ by more than 5 mm Hg. 3 The management and prevention of hypertension are important to the prevention of these diseases. numbness in the limbs. Conditions and medications that can. BP CO X PR. Regular physical activity can lower your risk for heart disease. As a federal agency, you can support HHSs efforts to improve high. decreased attention span C. Diastolic pressure is the pressure against the arteries between heartbeats, as the heart relaxes. If you have high blood pressure (hypertension), the foods you eat can play a significant role in helping you manage the condition. The top number is called the systolic blood pressure. According to current guidelines from the American Heart Association, normal blood pressure for adults under the age of 65 is any blood pressure below 12080 mmHg. Many of those people don't know they have it, because there are usually no warning signs. This causes toxins and wastes to build up in your body. Increased blood pressure can cause a blood vessel to weaken and bulge, forming an aneurysm. Most people whove had a first stroke also had high blood pressure. Feb 28, 2018 How to Reduce Your High Blood Pressure and Take Down Hypertension. They also may be called beta-adrenergic blocking agents. 7 million individuals from 2015 to 2016. The added stress on the arteries can speed up the clogging of arteries with fatty plaques (atherosclerosis). Myocardial infarction (MI) is the technical term for a heart attack. g 9. You can help prevent high blood pressurealso called hypertensionby making healthy choices and managing other health conditions you may have. improved self-image, Regular exercise often leads to an improved body image. By taking steps to avoid coronary artery disease or high blood pressure, however, you can help avoid developing A-fib due to these causes. High blood pressure puts a strain on blood vessels all over the body, including the arteries that lead to the brain. Mar 16, 2023 Hypertension (high blood pressure) is when the pressure in your blood vessels is too high (14090 mmHg or higher). Aug 9, 2022 Several kidney diseases may cause secondary hypertension, including Diabetes complications (diabetic nephropathy). obstructive sleep apnea. Sep 20, 2021 Prevention of weight gain and obesity is paramount to prevent cardiometabolic diseases, including hypertension and subsequent heart, kidney, and brain diseases. TF Essential hypertension, also called primary hypertension, accounts for most cases of hypertension. May 1, 2023 Your doctor can determine your target weight for your age and body type. Study with Quizlet and memorize flashcards containing terms like How are hypertension, heart disease, and stroke related A. reduced quality of life, Which of the. This can also run in families. People with high blood pressure are also more likely to get severely ill from COVID-19. This complication. Hypertension in CKD is marked by extracellular fluid volume expansion,sympathetic nervous system activation, and vasoconstrictor accumulations of endothelin and asymmetric dimethylarginine, an endogenous nitric oxide inhibitor. In contrast, new onset of. Current guidelines recommend diets high in fruits, vegetables, whole grains, nuts, and legumes; moderate in low-fat dairy and seafood; and low in processed meats, sugar-sweetened beverages, refined grains,. Stress can cause a steep rise in blood pressure. Hypertensive crisis is when blood pressure rapidly spikes to readings of 180120, according. It is more common in twin pregnancies, and in women who had PIH in a previous pregnancy. Pain, numbness, weakness or coldness in the legs or arms if the blood vessels in those body areas are narrowed. A B. Question How can hypertension be prevented quizlet Answer (A) is absolutely right answer because we know that hypertension is the condition which. These wastes can build up in your body and cause damage to other organs. Since publication of the 2017 ACCAHA BP Guideline, several new findings have emerged which, taken together, can better inform the approach to the prevention, detection and management of hypertension. An estimated 110,000 deaths per year could be prevented if US adults ages 40 and older increased their moderate-to-vigorous physical activity by a small amount. High blood pressure also leads to thickening of the blood vessel walls. Once high blood pressure develops, it usually lasts a lifetime and has to be managed with medication. An estimated 110,000 deaths per year could be prevented if US adults ages 40 and older increased their moderate-to-vigorous physical activity by a small amount. Sep 9, 2018 Prevention and Control of Hypertension. Over time, high blood pressure harms renal blood vessels. When calcium is present, the higher the score, the higher the risk of heart disease. This leads to an ability to fall asleep more quickly, a better quality of sleep, and improved length of sleep. all of the above D Lifestyle choices are usually an important factor in the development of heart disease. Regular participation in physical activity reduces the need for a balanced diet. releasing the pressure in the cuff at a rate of 1 mm Hgsec. CVDs include coronary heart disease (heart attacks), cerebrovascular disease (stroke), raised blood pressure (hypertension), peripheral artery disease, rheumatic heart disease, congenital heart. A number of important causal factors for hypertension have been identified, including excess body weight; excess dietary sodium intake; reduced. Right side abdominal pain. Shortness of breath, especially with activity. High blood pressure develops slowly over time and can be related to many causes. The DASH diet has many similarities with the Mediterranean diet, but is specifically designed to help tackle high blood pressure. Hypertension is diagnosed as a sustained and repeatedly high blood pressure, so if there are abnormally high blood pressures in 2 or more consecutive doctor visits you can be diagnosed as hypertensive. The patient is conscious and alert and denies any symptoms. The benefits of physical fitness include an improvement in mood. , Adults need at least 1 hour. These programs work to prevent,. - The B. Making lifestyle changes. Fatigue, especially during times of increased activity. Blurry vision or light sensitivity. A B. - The B. Since publication of the 2017 ACCAHA BP Guideline, several new findings have emerged which, taken together, can better inform the approach to the prevention, detection and management of hypertension. No one diet is best. Worldwide, cardiovascular disease is a leading cause of death, claiming 17. Symptoms of aortic valve stenosis may include An irregular heart sound (heart murmur) heard through a stethoscope. It measures calories burned. Its also different from preeclampsia and eclampsia. Treatment can be especially beneficial for people with moderate to severe hypertension, that is, people with resting blood pressure of greater than 160 over 100 mmHg (Musini 2017; Musini 2019). T F. It covers topics such as risk factors, lifestyle interventions, pharmacological therapy, and special populations. We have an expert-written solution to this problem How can regular participation in physical activity improve an individual&39;s overall health A. If uncontrolled, it can lead to heart and kidney disease, stroke, and blindness. The nephrons in the kidneys are supplied with a dense network of blood vessels, and high volumes of blood flow through them. The DASH diet focuses on vegetables, fruits and whole grains. It is common but can be serious if not treated. Dietary changes, exercise and medicine can help you keep your blood pressure where it. Verified answer. May 31, 2023 A few facts to be aware of Many people with high blood pressure dont even know they have it. If the rise in BP with age could be prevented or diminished, much of hypertension, cardiovascular and renal disease, and stroke might be prevented. It measures calories burned. Diastolic pressure is the pressure against the arteries between heartbeats, as the heart relaxes. High blood pressure (hypertension) can cause atherosclerosis. maintaining a moderate weight. Study with Quizlet and memorize flashcards containing terms like How is blood pressure defined, What are systolic and diastolic readings, What is pulse pressure and what does it indicate and more. adults has high blood pressure. kidney disease, or as an adverse effect of some medications. Fatty Fish. When combined with cholesterol deposits in the blood vessels, the risk of heart attack and stroke increases. Diabetic kidney disease is a decrease in kidney function that occurs in some people who have diabetes. But when stress goes away, blood pressure returns to what it was before the stress. These damaged arteries are not able to deliver. 0 (1 review) What is Blood Pressure Click the card to flip Pressure is exerted by the left ventricle each time it contracts, and pressure is exerted by the blood as it flows thru the blood vessels. Although it is a serious thing that can increase strokes, heart diseases, and kidney diseases, you may hear people say, 'calm down, your blood pressure is going up'. They may take their antihypertensive medication periodically, but not every day, which can cause dire effects, such as rebound hypertension and the increased risk of stroke. According to new guidelines, anyone with a reading of 13080 mm Hg or higher has high blood pressure. Read on to find out about CDCs lifestyle change program and. , Which of the following is NOT a type of synovial joint in the human body, How can an individual benefit from participating in the recommended amount of. Cardiomyopathy can lead to heart failure. The DASH diet emphasizes vegetables, fruits, fat-free or low-fat dairy products, whole grains, fish, poultry, beans, seeds, nuts and vegetable oils. TOO MUCH SALT IN YOUR DIET. Stop smoking. Up vitamin intake. This review discusses the complexity of factors linking hypertension to brain functional and structural changes, and to cognitive decline and. Mar 1, 2022 The how can hypertension be prevented quizlet fat face blood pressure meds more Kevin said, the more frightened he felt in his How Can Hypertension Be Prevented Quizlet heart. Discuss medication side effects with your doctor. cancer, factors are known to be correlated with diseases but not proven to be causal. -Kidney Problems. This comprehensive study tool provides valuable insights into the lifestyle changes and. Mar 6, 2023 High cholesterol and high blood pressure tend to run together. You can try to prevent high blood pressure from developing or delay its onset by addressing the risk factors of Hypertension taking the following steps. Diabetes can damage the kidneys' filtering system, which can lead to high blood pressure. May 1, 2023 Obesity, Nutrition, and Physical Activity. Other signs of preeclampsia include Headaches. The damage is like the damage from long-term high blood. Mar 1, 2022 The how can hypertension be prevented quizlet fat face blood pressure meds more Kevin said, the more frightened he felt in his How Can Hypertension Be Prevented Quizlet heart. Apr 20, 2023 The signs and symptoms of increased ICP include headache. Get moving to prevent hypertension. True or False Adolescents require fewer. The cause of pulmonary hypertension is not always clear. Study with Quizlet and memorize flashcards containing terms like How is blood pressure defined, What are systolic and diastolic readings, What is pulse pressure and what does it indicate and more. Even if a person has a family history of heart disease, we can still prevent and treat heart disease thanks to incredible advances in medicine. Tuberculosis spreads easily where people gather in crowds or where people live in crowded conditions. - High B. The medicines block the effects of the hormone epinephrine, also known as adrenaline. all of the above. Exercise also can help control weight and boost energy. Mild Preeclampsia. Jan 15, 2018 Conversely, hypertension at baseline was an independent predictor of incident diabetes mellitus (in FOS, odds ratio, 3. identify treatment options. Study with Quizlet and memorize flashcards containing terms like Which complication is prevented by coaching a client in the second stage of labor to take a breath at least every 6 seconds while pushing with each contraction - fetal hypoxia - perennial lacerations - carpopedal spasms - maternal hypertension, The nurse is assessing a pregnant 16. 20 terms. 7 million individuals from 2015 to 2016. 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- About 1 out of 3 U. . How can hypertension be prevented quizlet
Polycystic kidney disease. Physical activity is commonly recommended as an important lifestyle modification that may aid in the prevention of hypertension. Practice the following healthy living habits. Fatty Fish. Regular participation in physical activity allows an individual to function on less sleep. read and analyze texts about these diseases. Other risk factors, such as age, family history and genetics, race and ethnicity, and sex, cannot be changed. Several years ago, my colleagues and I attempted to determine (in a placebocontrolled study) if the use of a garlic preparation with little odor would result in a decrease in blood pressure. INTRODUCTION The global prevalence of hypertension is high, and among nonpregnant adults in the United States, treatment of hypertension is the most common reason for office visits and for the use of chronic prescription medications . Select the positive statement that would BEST counteract this negative statement "i do not have the time to exercise. High blood pressure is a risk factor for heart disease, and effectively. Symptoms of aortic valve stenosis may include An irregular heart sound (heart murmur) heard through a stethoscope. F; unknown cause. When combined with cholesterol deposits in the blood vessels, the risk of heart attack and stroke increases. The brain is the central repository of delicate neural tissue. Using a pedometer can promote a physically active lifestyle. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with asthma who asks if montelukast sodium can be taken for acute asthma symptoms. Hypertension is defined herein as sustained elevated arterial blood pressure measured indirectly by an inflatable cuff and pressure manometer. Medicines used to treat high blood pressure include Water pills (diuretics). A blood clot in the heart or lungs could include symptoms such as chest pain , shortness of breath and upper body discomfort in the arms, back. Physical activity is crucial, says Ogedegbe. While primary prevention is about treating and modifying existing risk factors to prevent the development of CVD, primordial prevention focuses on preventing the development of the risk factors themselves. It has been clearly shown to increase the risk of developing stroke, coronary heart disease, congestive heart failure. TF Primary HTN has a known cause. Nearly 94 million adults over the age of 20 have what could be considered borderline high cholesterol, yet as with hypertension many patients are unaware of it until they visit their. Signs and symptoms of supraventricular tachycardia may include Very fast (rapid) heartbeat. Study with Quizlet and memorize flashcards containing terms like Which of these blood pressure measurements indicate hypertension, Risk factors for hypertension include the following. Accordingly, diabetes and hypertension are closely interlinked because of similar risk factors, such as endothelial dysfunction, vascular inflammation, arterial remodelling, atherosclerosis, dyslipidemia, and obesity. - High B. Learn how diabetes, diet, inflammation, and other factors can be risk factors for heart disease and hypertension with flashcards on Quizlet. Conditions and medications that can cause. ACE inhibitors prevent an enzyme in the body from making angiotensin 2, a substance that narrows blood vessels. Study with Quizlet and memorize flashcards containing terms like How are hypertension, heart disease, and stroke related A. These drugs help remove sodium and water from the body. Exercising and sweating profusely. Conditions and medications that can. Find step-by-step Computer science solutions and your answer to the following textbook question How can VLAN hopping attacks be prevented on a network A) Install a router to process the untagged traffic on the VLAN B) Disable auto trunking and move native VLANs to unused VLANs C) Install an additional switch to isolate traffic D) Use. Symptoms of hypertensive crisis include severe occipital headache, palpitations, nuchal rigidity, chest pain, and coma. 5 ozday in women; reduce dietary sodium intake to no more than 2. High blood pressure is defined for adults as systolic pressure above 140 or diastolic pressure above 90. P is a major risk factor for heart disease, stroke, congestive heart failure, and kidney disease. More. Nov 21, 2023 Hypertension in adults diagnosis and management is a comprehensive online book that provides evidence-based recommendations for the prevention, detection, and treatment of high blood pressure. 5 and affected 13. should be able to complete daily tasks without being physically taxed. According to the World Health Organization (WHO), hypertension affects around 1. Foods in the DASH diet are rich in the minerals potassium, calcium and magnesium. Nevertheless, it is best to take them in the morning to prevent annoying. adults has high blood pressure. Rhabdomyolysis monitor and report muscle pain and weakness. By Mayo Clinic Staff. Aldosterone helps balance the levels of salt and potassium in the body and helps control blood pressure. What are the risk factors Many factors raise your risk of high blood pressure. Mar 6, 2023 High cholesterol and high blood pressure tend to run together. Hypertensive atherosclerosis could result in a stroke or heart attack due to a blockage or a rupture. This means the heart has to work much harder to keep the blood circulation going. Staying active gives you more control over your heart rate and blood pressure. cystic fibrosis. 3 Key Points Regular aerobic exercise results in reductions in blood pressure of 5-7 mmHg among individuals with hypertension and these reductions translate to a reduced risk of CVD of 20-30. CO SV X HR. Some people have a high sensitivity to salt in their diet, which can play a role in high blood pressure. The good news is that shedding pounds can have a marked impact on blood pressure. Fatty Fish. S 140. Hypertensive heart disease is the leading cause of illness. Symptoms can be mild or life-threatening. D 90. Fatigue, especially during times of increased activity. These resources can help you learn about and promote the importance of knowing your numbers, heart-healthy living, and more. Feb 28, 2018 How to Reduce Your High Blood Pressure and Take Down Hypertension. Sep 15, 2022 Increased blood pressure can cause a blood vessel to weaken and bulge, forming an aneurysm. Nov 19, 2021 The main goal of treatment for renovascular hypertension is to lower blood pressure. A decline in cerebrovascular reserve capacity and emerging degenerative vascular wall changes underlie complete and incomplete brain infarcts, haemorrhages and white matter hyperintensities. Stage 2 hypertension is considered 14090 mm Hg. or greater (either number) stage 1 hypertension. Diabetes causes sugars to build up in the blood and prevent oxygen and nutrients from getting to the various parts of your body, including your brain. No one diet is best. Heart disease includes coronary heart disease (CHD), heart failure, atrial fibrillation, valvular disease, sudden cardiac death (SCD), sick sinus syndrome. Discuss medication side effects with your doctor. < Prev Next > The prevention and management of hypertension are major public health challenges for the United States. This leads to an ability to fall asleep more quickly, a better quality of sleep, and improved length of sleep. The patient is conscious and alert and denies any symptoms. High blood pressure damages the artery walls, causing them to become thinned and stretched. significant drop in blood pressure. Study with Quizlet and memorize flashcards containing terms like In this assignment, you will demonstrate your knowledge of symptoms of these diseases. e) It lacks vitamin D. Regular participation in physical activity allows an individual to function on less sleep. Antiadrenergic agent. balanced diet B. Adults 65 and older also need balance-improving activities. However, some precautions can help prevent certain kinds of tinnitus. How can hypertension be prevented All of the above. Lose extra pounds and watch your waistline Blood pressure often increases as weight increases. Diastolic pressure is the pressure against the arteries between heartbeats, as the heart relaxes. Health care professionals and other partners can help by visiting The Surgeon General&x27;s Call to Action to Control Hypertension. has high blood pressure, or hypertension. Secondary hypertension can be caused by. This leads to an ability to fall asleep more quickly, a better quality of sleep, and improved length of sleep. Preventing high blood pressure, which is also called hypertension, can lower your risk for heart disease and stroke. Many factors can lead to excessive blood clotting, causing limited or blocked blood flow which can be life-threatening. demonstrate your understanding of possible cures. High blood pressure, or hypertension, is the most common primary diagnosis in the United States, and it is one of the most common worldwide diseases afflicting humans and is a major risk factor for stroke, myocardial infarction, vascular disease, and chronic kidney disease. Contact 911 or your local emergency services number immediately if you notice symptoms. - The B. There are many ways to lower or control high blood pressure. Brain cells die during a stroke because they do not get enough oxygen. Lean meats, poultry, or fish 6 or fewer servings per day. People with high blood pressure may not feel symptoms. High blood pressure develops slowly over time and can be related to many causes. healthy weight D. If an aneurysm ruptures, it can be life-threatening. When combined with cholesterol deposits in the blood vessels, the risk of heart attack and stroke increases. Some causes of secondary hypertension, such as tumors or abnormal blood vessel structures, cannot be prevented. Five Basic Cholera Prevention Steps. Physical activity is commonly recommended as an important lifestyle modification that may aid in the prevention of hypertension. always taking the BP in both arms. Aug 9, 2022 Several kidney diseases may cause secondary hypertension, including Diabetes complications (diabetic nephropathy). People usually have more than one episode in their lifetime. . dallas fatal car accident today