Evaluation and Management of Secondary Hypertension

被引:22
作者
Sarathy, Harini [1 ]
Abu Salman, Liann [2 ]
Lee, Christopher [3 ]
Cohen, Jordana B. [4 ,5 ]
机构
[1] Univ Calif San Francisco, Zuckerberg San Francisco Gen Hosp, Div Nephrol & Hypertens, 1001 Potrero Ave, San Francisco, CA 94110 USA
[2] Univ Penn, Hosp Univ Penn, Perelman Sch Med, Renal Electrolyte & Hypertens Div,Renal Div, 3400 Spruce St,1 Founders, Philadelphia, PA 19104 USA
[3] Univ Penn Hlth Syst, Penn Hosp, Dept Med, 800 Spruce St, Philadelphia, PA 19104 USA
[4] Univ Penn, Perelman Sch Med, Dept Biostat Epidemiol & Informat, 423 Guardian Dr,831 Blockley, Philadelphia, PA 19104 USA
[5] Univ Penn, Renal Electrolyte & Hypertens Div, Perelman Sch Med, Philadelphia, PA 19104 USA
关键词
Hypertension; Blood pressure; Secondary hypertension; Resistant hypertension; Primary aldosteronism; Renal artery stenosis; Obstructive sleep apnea; OBSTRUCTIVE SLEEP-APNEA; POSITIVE AIRWAY PRESSURE; PRIMARY ALDOSTERONISM; BLOOD-PRESSURE; RESISTANT HYPERTENSION; FIBROMUSCULAR DYSPLASIA; BERLIN QUESTIONNAIRE; RISK-FACTOR; PREVALENCE; DIAGNOSIS;
D O I
10.1016/j.mcna.2021.11.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hypertension is a major cause of cardiovascular morbidity and mortality globally. Many patients with hypertension have secondary causes of hypertension that merit further evaluation. For example, secondary hypertension can result in target organ damage to the heart, kidneys, and brain independent of the effects of blood pressure. Several causes benefit from targeted therapies to supplement first-line antihypertensive agents. However, secondary hypertension is often underrecognized. The goal of this review is to highlight optimal approaches to the diagnosis and management of common causes of secondary hypertension, including primary aldosteronism, renovascular hypertension, obstructive sleep apnea, and drug-induced hypertension.
引用
收藏
页码:269 / +
页数:16
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