Hypertension is a genetic condition—a quantum dilemma
Abstract
The British Irish Hypertension Society (BIHS) 2023 Sir Stanley Peart Essay Competition posed a challenging topic: ‘Hypertension is a genetic condition?’ The presence of a question mark in the topic immediately conveys the uncertainty surrounding the genetic underpinnings of hypertension. In this prize-winning essay, I delve into the causes, complications and management of hypertension from a patient perspective intertwining the latest genetic evidence with clinical, pathophysiological and epidemiologic insights while also considering the impact of cognitive biases. This essay illuminates the complex tapestry of hypertension’s origins, emphasising the intricate interplay between genetics, environment, clinical practice, and patient beliefs which collectively contribute to the significant public health burden posed by hypertension.
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