Secondary hypertension, issues in diagnosis and treatment

Prim Care. 2014 Dec;41(4):749-64. doi: 10.1016/j.pop.2014.08.001. Epub 2014 Oct 7.

Abstract

Secondary hypertension (SH) often implies a correctable form of nonessential hypertension. Often certain clinical clues prompt a more extensive evaluation of the causes of the hypertension. Renovascular disease, intrinsic renal disease, primary hyperaldosteronism, and obstructive sleep apnea represent the most common causes of SH. This article defines the disorder and details its epidemiology, prevalence, pathophysiology, physical findings, and treatment strategies.

Keywords: Essential; Hyperaldosteronism; Intrinsic kidney disease; Renovascular disease; Secondary; Sleep apnea.

MeSH terms

  • Alcohol Drinking
  • Antihypertensive Agents / therapeutic use
  • Diet
  • Exercise
  • Health Behavior
  • Humans
  • Hyperaldosteronism / complications
  • Hypertension / epidemiology
  • Hypertension / etiology*
  • Hypertension / therapy*
  • Kidney Diseases / complications
  • Kidney Function Tests
  • Life Style
  • Prevalence
  • Renal Artery Obstruction / complications
  • Sleep Apnea, Obstructive / complications

Substances

  • Antihypertensive Agents