What is the difference between H-type hypertension and common hypertension?

The main difference between H-type hypertension and general hypertension lies in the level of homocysteine (Hcy). Patients with H-type hypertension are accompanied by elevated Hcy, which is more harmful and easy to lead to cardiovascular and cerebrovascular complications. Treatment should take into account both lowering blood pressure and lowering Hcy. The difference between H-type hypertension and general hypertension lies mainly in the level of homocysteine (Hcy). H-type hypertension is hypertension with hyperhomocysteinemia, while common hypertension is not accompanied by elevated homocysteine. H-type hypertension is more harmful and more likely to lead to cardiovascular and cerebrovascular complications. Elevated homocysteine levels increase the risk of vascular endothelial damage, platelet aggregation and thrombosis, thus promoting the occurrence and development of atherosclerosis. The following are some of the differences between type H hypertension and general hypertension: 1. Diagnostic criteria: The diagnosis of general hypertension is mainly based on systolic and diastolic blood pressure levels; while type H hypertension requires elevated homocysteine levels in addition to elevated blood pressure. 2. Homocysteine levels: Homocysteine levels in patients with type H hypertension are usually higher than 10 μ mol/L. The homocysteine level in patients with general hypertension may be normal or slightly elevated. 3. Cardiovascular and cerebrovascular risks: The risk of cardiovascular and cerebrovascular events in patients with type H hypertension is significantly higher than that in patients with general hypertension. The elevated homocysteine level itself increases the risk of cardiovascular and cerebrovascular diseases, and type H hypertension further increases this risk. 4. Treatment strategies: In addition to antihypertensive treatment, H-type hypertension also requires lowering homocysteine levels. Common methods include folic acid supplementation, vitamin B6 and vitamin B12. 5. Test methods: Testing homocysteine levels requires special laboratory methods, usually performed in hospitals. For patients with hypertension, especially older patients with a family history of cardiovascular disease or other risk factors, homocysteine levels should be tested in time to determine whether it is H-type hypertension. For patients with H-type hypertension, comprehensive treatment measures should be taken, including healthy lifestyle, reasonable diet, appropriate exercise, antihypertensive medication and treatment to reduce homocysteine levels. Special attention should be paid to special groups such as pregnant women, children, the elderly and patients with certain diseases. During the treatment process, you should follow the doctor's advice, regularly monitor blood pressure and other related indicators, and individualized treatment according to individual conditions. Key information: Type H hypertension is hypertension patients with hyperhomocysteinemia, compared with ordinary hypertension, type H hypertension is more harmful, more likely to lead to cardiovascular complications. Treatment of H type hypertension requires a combination of treatment, including antihypertensive treatment and treatment to reduce homocysteine levels. Special attention should be paid to the treatment of hypertension and H type hypertension in special populations and should be treated according to the doctor's recommendations.