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Secondary hypertension 

Secondary hypertension
Chapter:
Secondary hypertension
Author(s):

Morris J. Brown

and Fraz Mir

DOI:
10.1093/med/9780199204854.003.161703_update_002

Update:

Conn’s syndrome – description of somatic mutations causing adrenal adenomas. Discussion of hypothesis that low renin hypertension could be driven in some cases by small adrenal adenomas that may be detected by newer radiotracer imaging, and how these adenomas might be treated.

Updated on 29 Oct 2015. The previous version of this content can be found here.
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date: 25 September 2017

The term ‘secondary hypertension’ is used to describe patients whose blood pressure is elevated by a single, identifiable cause, with an important subdivision being into reversible and irreversible causes: clinically, it is important to exclude the former, but not necessarily to find the latter.

In the first two decades of life, the prevalence of secondary hypertension is greater than that of essential hypertension; thereafter, a patient is much more likely to have essential hypertension, but investigations for secondary hypertension should still be assiduous in the twenties and thirties because the alternative entails so many years of tablet-taking....

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