Diagnose and therapy of secondary hypertension / 中国实用内科杂志

ABSTRACT

High blood pressure has received abundant clinical and laboratory attention in recent years.The chief causes of hypertension secondary to renal and adrenal lesions has increased.Investigation of hypertension for an underlying cause will reveal a small number of patients with treatable disorders,of whom a few will be cured by specific intervention.Drug therapy of secondary hypertension has reached a new stage of effectiveness and specificity,and many patients can be successfully managed medically.The chief indications for surgical intervention are renal artery stenosis in good-risk individuals with definite criteria of renal ischemia,pheochromocytoma,and primary aldosteronism,and a moderate number with irreversible disease who are at high risk of myocardial infarction and stroke.