Secondary hypertension in adults
Singapore medical journal
;
: 228-232, 2016.
Artículo
en Inglés
| WPRIM
| ID: wpr-296426
ABSTRACT
Secondary hypertension occurs in a significant proportion of adult patients (~10%). In young patients, renal causes (glomerulonephritis) and coarctation of the aorta should be considered. In older patients, primary aldosteronism, obstructive sleep apnoea and renal artery stenosis are more prevalent than previously thought. Primary aldosteronism can be screened by taking morning aldosterone and renin levels, and should be considered in patients with severe, resistant or hypokalaemia-associated hypertension. Symptoms of obstructive sleep apnoea should be sought. Worsening of renal function after starting an angiotensin-converting enzyme inhibitor suggests the possibility of renal artery stenosis. Recognition, diagnosis and treatment of secondary causes of hypertension lead to good clinical outcomes and the possible reversal of end-organ damage, in addition to blood pressure control. As most patients with hypertension are managed at the primary care level, it is important for primary care physicians to recognise these conditions and refer patients appropriately.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Coartación Aórtica
/
Atención Primaria de Salud
/
Derivación y Consulta
/
Obstrucción de la Arteria Renal
/
Terapéutica
/
Sangre
/
Presión Sanguínea
/
Inhibidores de la Enzima Convertidora de Angiotensina
/
Renina
/
Apnea Obstructiva del Sueño
Tipo de estudio:
Estudio diagnóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Singapore medical journal
Año:
2016
Tipo del documento:
Artículo
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