Diagnosis and treatment of low-renin hypertension

被引:71
作者
Mulatero, Paolo [1 ]
Verhovez, Andrea [1 ]
Morello, Fulvio [1 ]
Veglio, Franco [1 ]
机构
[1] Univ Roma Tor Vergata, Dept Med & Expt Oncol, Div Internal Med & Hypertens, I-00173 Rome, Italy
关键词
D O I
10.1111/j.1365-2265.2007.02898.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Plasma renin levels can be used to classify hypertension. A significant proportion of hypertensive individuals display a low-renin profile and thus low-renin hypertension (LRH) requires appropriate diagnosis and treatment. LRH includes essential, secondary and genetic forms, the most common of which are low-renin essential hypertension and primary aldosteronism. Several studies have investigated the relationship between PRA status and clinical response to different antihypertensive therapies. The present review will discuss the differential diagnosis of LRH subtypes and the most appropriate treatment options based on the pathophysiological background of this condition.
引用
收藏
页码:324 / 334
页数:11
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