Cardiovascular · UKMLA & AKT

Hypertension (essential or secondary)

A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.

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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