Title:Secondary Hypertension: Novel Insights
VOLUME: 16 ISSUE: 1
Author(s):Konstantinos Tziomalos *
Affiliation:First Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki
Keywords:Secondary hypertension, primary aldosteronism, chronic kidney disease, renovascular hypertension, pheochromocytoma,
disease.
Abstract:It is estimated that 5-10% of hypertensive patients have secondary hypertension. The main causes of secondary
hypertension are parenchymal renal disease, primary aldosteronism and renovascular hypertension. The identification of
these patients is important because it enables the etiological management of the underlying disease and in some cases
leads to blood pressure control without antihypertensive medications. On the other hand, diagnostic evaluation for secondary
hypertension often includes complex and expensive tests and should be performed only in patients with a strong
clinical suspicion for its presence. If preliminary screening tests suggest the presence of secondary hypertension, these patients
should be referred to specialized centers for further diagnostic evaluation and comprehensive management.
