What is secondary hypertension?
Secondary hypertension is high blood pressure caused by another condition or disease. Conditions that may cause secondary hypertension include kidney disease, adrenal disease, thyroid problems and obstructive sleep apnea.
What happens if secondary hypertension is left undiagnosed?
Left undiagnosed, secondary hypertension can lead to resistant hypertension, cardiovascular and renal complications, multiple specialist referrals and an unnecessary burden on the healthcare system. Table I Causes of secondary hypertension and suggestive findings. Open in a separate window HOW COMMON IS THIS IN MY PRACTICE?
What causes secondary hypertension in Cushing syndrome?
Cushing syndrome. In this condition, corticosteroid medications may cause secondary hypertension, or hypertension may be caused by a pituitary tumor or other factors that cause the adrenal glands to produce too much of the hormone cortisol.
How can the ABCDE mnemonic be used to determine secondary causes of hypertension?
The ABCDE mnemonic can be used to help determine a secondary cause of hypertension: A ccuracy of diagnosis, obstructive sleep A pnea, A ldosteronism, presence of renal artery B ruits (suggesting renal artery stenosis), renal parenchymal disease ( B ad kidneys), excess C atecholamines, C oarctation of the aorta,…
Should I be tested for secondary hypertension?
Because secondary hypertension is relatively rare, and screening for causes can be expensive and time-consuming, not every patient with high blood pressure will be tested for the condition. Your healthcare provider will test you if they feel there is a strong probable case.
What is high blood pressure (hypertension)?
High blood pressure, also called hypertension, is a common condition that is characterized by having a higher amount of pressure in your blood vessels than normal. Blood pressure is typically measured with an inflatable cuff that is placed around your arm. When taking your blood pressure, your healthcare provider is looking for two measurements:
What are the causes of primary hypertension?
These abnormalities may vary from dysfunction in calcium, potassium or sodium levels, vascular contractions, hormonal elevations and central nervous system stimulations. “Primary hypertension is pervasive across all races and both genders,” Nesbitt said.
