Hypertension

Hypertension is a major risk factor in atherosclerosis, heart disease, hem­orrhagic and nonhemorrhagic stroke, and a principal cause of morbidity and mortality in developed nations throughout the world. In atherosclero­sis, hypertension contributes to intimal injury and permeability in the interactive process of lipoprotein uptake and plaque formation. In the etiology of hemorrhagic stroke (excluding ruptured congenital aneu­rysms), the pathogenesis is likely to be rupture of microaneurysms result­ing from arterionecrosis, which is characterized by infiltration into the intima of blood plasma with fibrin deposition, histolysis of the internal elastic lamina, and loss of medial smooth muscle cells.