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Here is a scientific Text on the subject of the course of hypertension (history of hypertension) is in German: The rate of hypertension: Pathophysiological development and clinical implications Hypertension medical arterial hypertension referred to, is one of the most common chronic diseases worldwide and failure is a key risk factor for cardiovascular diseases such as heart attack, stroke, and kidney. The course (the course) of high blood pressure is often progressive and may persist over several decades, with the clinical manifestations and organ damage in the course of time. 1. Early stage: Prähypertonie and essential hypertension The history often begins with a stage of Prähypertonie, in which the blood pressure in the range of 120-139/80-89 mmHg. In many patients with essential (primary) hypertension, its causes are multifactorial, and include a combination of genetic Disposition, life include the influences of the style factors (e.g., high salt intake, Obesity, lack of physical activity, alcohol consumption) and environmental developed this. In this early stage, the symptoms are often non-specific, or are missing completely, which leads to an insufficient diagnostic guide. Typical symptoms may be headache, dizziness, or fatigue, however, are often attributed to other causes. 2. Progressive Phase of organ involvement and structural changes With continuing high blood pressure progressive changes in various organs, which are referred to as organ damage caused by hypertension (target organ damage): Heart: left ventricular enlargement (left ventricular hypertrophy), diastolic dysfunction, and in the progress of heart failure. Blood vessels: Arteriosclerotic changes, vascular stiffness and endothelial damage. Renal: Glomerulosclerosis, proteinuria and end-stage chronic renal failure. Brain: cerebellum attacks, cognitive impairments and increased risk of stroke. Eyes: retinopathy, vascular changes and possible vision loss. 3. Late phase: complications and life-threatening conditions In the advanced stage, it can lead to acute, life-threatening complications: Hypertensive crises with blood pressure values above 180/120 mmHg, which require a rapid reduction in blood pressure. Aneurysms due to vascular weakness. Hemorrhagic or ischemic strokes. Acute Renal Failure. 4. The influence of therapy on the course of the disease Early and adequate treatment can affect the course significantly positive. The therapy includes: The style changes (reduction of salt, weight reduction, physical exercise, alcohol reduction) life. Pharmacotherapy (ACE‑inhibitors, AT1‑receptor blockers, beta-blockers, diuretics, calcium channel blockers). Regular blood pressure checks and adjustment of the medication. Studies show that effective control of blood pressure (target value under 140/90 mmHg, can reduce at-risk patients under 130/80 mmHg), the risk of cardiovascular events by up to 50%. Conclusion The rate of high blood pressure typically proceeds over the decades, from an asymptomatic stage to serious organ damage and life-threatening complications. Early diagnosis, consistent blood pressure control, and multi-modal therapy are crucial to modify the course of the disease and to improve the quality of life and life expectancy of the Affected significantly. If you want, I can customize the Text, reduce, or on a certain aspect — just say!