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Published on: August 1, 2018
[Secondary hypertension]
Insights
Secondary hypertension, often caused by endocrine or renal issues, affects about 10% of patients. Early detection and treatment are crucial as many forms are curable, improving cardiovascular health.
Area of Science:
- Cardiology
- Endocrinology
- Nephrology
Context:
- Hypertension is a major risk factor for cardiovascular diseases.
- Secondary hypertension accounts for approximately 10% of hypertension cases.
- Identifying the underlying cause is key as secondary hypertension is often treatable.
Purpose:
- To highlight the prevalence and significance of secondary hypertension.
- To categorize the common causes of secondary hypertension.
- To emphasize the importance of early screening and diagnosis.
Summary:
- Secondary hypertension arises from identifiable causes, including endocrine disorders (e.g., primary aldosteronism, Cushing's syndrome, pheochromocytoma) and renal diseases (renal parenchymal, renovascular hypertension).
- Other prevalent causes include obstructive sleep apnea syndrome.
- Most cases of secondary hypertension are curable or significantly improvable with targeted treatment.
Impact:
- Early identification and management of secondary hypertension can prevent severe cardiovascular complications.
- Routine screening for secondary hypertension in clinical practice is recommended.
- Effective treatment of secondary hypertension can lead to better patient outcomes and reduced healthcare burden.
Abstract:
Hypertension is a common disease and a crucial predisposing factor of cardiovascular diseases. Approximately 10% of hypertensive patients are secondary hypertension, a pathogenetic factor of which can be identified. Secondary hypertension consists of endocrine, renal, and other diseases. Primary aldosteronism, Cushing's syndrome, pheochromocytoma, hyperthyroidism, and hypothyroidism result in endocrine hypertension. Renal parenchymal hypertension and renovascular hypertension result in renal hypertension. Other diseases such as obstructive sleep apnea syndrome are also very prevalent in secondary hypertension. It is very crucial to find and treat secondary hypertension at earlier stages since most secondary hypertension is curable or can be dramatically improved by specific treatment. One should keep in mind that screening of secondary hypertension should be done at least once in a daily clinical practice.
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