Cardiovascular · UKMLA & AKT

Hypertension (essential or secondary)

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise hypertension (essential or secondary) — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • Hypertension = persistently elevated BP increasing risk of cardiovascular, cerebrovascular, and renal end-organ damage
  • Diagnosis must be confirmed with ABPM (preferred) or HBPM - never from a single clinic reading alone
  • White coat hypertension - elevated clinic BP, normal ABPM/HBPM; not benign but no antihypertensive medication required
  • Masked hypertension - normal clinic BP, elevated ABPM; carries similar risk to sustained hypertension - easy to miss

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