A persistent elevation in blood pressure that is over 140 / 90 mmHg for more than 3 months, which will Not respond to non pharmacological treatment ( life style modification )

PRIMARY OR ESSENTIAL OR EDIOPATHIC 90% - 95% SECONDARY It happens due to other Disease or conditions Renal disease Hormonal Neural Pregnancy 5% - 10%

HERDITORY DIABETESSMOKINGALCOHOL LACK OF EXCERCISE OBESITY SALT INTAKE

120/80 Normal Above 140/90 Mild Above 160/100 Moderate Above 180/110 Severe above 200/120 Crisis

Avoid obesity Quit smoking Exercise Avoid high fat meal Reduce table salt intake (2 – 3) g/day Avoid stress & exhaustion

Drug therapy depends on the assessment of the case and Co-existing disease states & Co-administered drugs and here Are some medical groups used in the treatment :

DIABETES HYPERTENSION

La Revue de Santé de la Méditerranée orientale, Vol. 9, No 5/6, 2003 Cardiovascular risk factors in Saudi Arabian and non-Saudi Arabian diabetic patients in Saudi Arabia To determine frequency of cardiovascular risk factors in Saudi and non- Saudi diabetics studied patients attending King Abdul-Aziz University Hospital for follow-up In the period from January 1997 to December 2001 Cardiovascular risk factors, including hypertension, hyperlipidaemia, obesity and smoking,were studied as well as degree of blood glucose control

The study included 1122 patients

HTN = hypertension HLP = hyperlipidemia OBS = obesity SMK = smoking PBG = poor blood Glucose control %

HTN = hypertension HLP = hyperlipidemia OBS = obesity SMK = smoking PBG = poor blood Glucose control

HTN = hypertension HLP = hyperlipidemia OBS = obesity SMK = smoking PBG = poor blood Glucose control