Factors predicting secondaryhypertension in young adults with hypertension: a retrospective study. Hypertension in young adults is often due to secondary causes, and investigating these can be resource-intensive. This study aimed to identify clinical and biochemical markers that could suggest secondaryhypertension in individuals under 40 years. A 6-year retrospective observational cohort study included 207 young adults with hypertension who were assessed for secondary causes such as hyperthyroidism, primary aldosteronism, Cushing's syndrome, pheochromocytoma, and renovascular disease. Multivariable logistic regression was used to identify significant predictors, with a significance level set at p < 0.05. Secondaryhypertension was diagnosed in 7 patients (3.4%). The most common diagnoses were
Prevalence and Risk Factors for SecondaryHypertension in Young Adults. The prevalence of secondary causes of hypertension in young adults is unknown, and therefore, there is no consensus about the indication of screening of secondaryhypertension (2HTN) in this population. The objective was to report the prevalence and the causes of 2HTN in young subjects. 2090 patients with confirmed
Treatment of SecondaryHypertension Due to Endocrine Causes XIX. Treatment of secondaryhypertension due to endocrine causes | Hypertension Canada GuidelinesHypertension Canada main site ►Hypertension Canada GuidelinesSearchMenuSkip to content * Home * Diagnosis & Assessment * I. Accurate measurement of BP * II. Diagnosis of hypertension and follow-up * III. Routine and optional laboratory . Treatment of secondaryhypertension due to endocrine causes * XX. Adherence strategies for patients * Supplementary Tables * Resources * Professional Resources * Patient Resources * Ressources françaises * Ressources françaises * Ressources pour les patients * About * Hypertension Canada Guidelines * Process Overview * References XIX. Treatment of secondary
Cardiac Phenotypes in SecondaryHypertension: JACC State-of-the-Art Review. Several forms of secondaryhypertension carry a high risk of cardiac morbidity and mortality. Evaluation of cardiac phenotypes in secondaryhypertension provides a unique opportunity to study underlying hormonal and biochemical mechanisms affecting the heart. We review the characteristics of cardiac dysfunction in different forms of secondaryhypertension and clarify the mechanisms behind the higher prevalence of heart damage in these patients than in those with primary hypertension. Attention to the specific clinical/biochemical phenotypes of these conditions may assist clinicians to screen for and confirm secondary forms of hypertension. Thereby, early signs of heart damage can be recognized and monitored
A successful pregnancy in a patient with secondaryhypertension caused by adrenal adenoma: a case report. Secondaryhypertension is a rare complication in pregnancy that causes poor outcomes, such as preeclampsia, premature delivery, intrauterine growth retardation, stillbirths, spontaneous abortion or intrauterine death. Cushing's disease caused by an adrenal adenoma is rare during pregnancy
Improved identification of secondaryhypertension: use of a systematic protocol The accurate identification and diagnosis of secondaryhypertension is critical, especially while atherosclerotic cardiovascular heart disease continues to be the leading cause of death in the industrialized world. Nevertheless, despite the existence of diagnostic tools, there are significant variations of the estimated prevalence of secondaryhypertension, due to multiple etiologies and suboptimal recognition. This study demonstrates the results of using a systematic and protocolled approach to improve recognition of the presence of secondaryhypertension. In the future, this questionnaire can be a quick and effective tool to unveil secondaryhypertension in a broad array of clinical settings. A total
The Effect of Long-Term Administration of Fatty Acid Amide Hydrolase Inhibitor URB597 on Oxidative Metabolism in the Heart of Rats with Primary and SecondaryHypertension Fatty acid amide hydrolase (FAAH) inhibitor [3-(3-carbamoylphenyl)phenyl] -cyclohexylcarbamate (URB597) may influence redox balance and blood pressure through the modulation of endocannabinoids levels. Therefore, this study aimed to compare changes in oxidative metabolism and apoptosis in the hearts of rats with spontaneous hypertension (SHR) and secondaryhypertension (11-deoxycorticosterone acetate; DOCA-salt rats) treated by URB597 via intraperitoneal injection for 14 days. The results showed that URB597 decreased the activity of NADPH and xanthine oxidases in both groups of rats. Moreover, in the heart of SHR rats
Multimodality Imaging in Patients with SecondaryHypertension: With a Focus on Appropriate Imaging Approaches Depending on the Etiologies Although the causes of hypertension are usually unknown, about 10% of the cases occur secondary to specific etiologies, which are often treatable. Common categories of secondaryhypertension include renal parenchymal disease, renovascular stenosis, vascular . Radiologists should understand the role of each imaging modality and its typical findings in various causes of secondaryhypertension. This article focuses on appropriate imaging approaches in accordance with the categorized etiologies leading to hypertension.
Hypertension Registry: Study of Primary and SecondaryHypertension Phenotypes, Complications, and Treatment Personalization. The quality of primary healthcare systems for patients with hypertension (HTA) in Morocco is a critical issue due to its high prevalence and significant impact on morbidity and mortality. The concept of "quality in primary care" encompasses fundamental aspects
Secondaryhypertension due to isolated interrupted aortic arch in a 45-year-old person: A case report. Though it is rare, isolated interrupted aortic arch (IAA) could lead to hypertension. Surgical repair is the only effective curative method to treat IAA conditions and patients with IAA can hardly survive to adulthood with medication alone. We report an IAA case that of a 45-year-old male
Erdheim-Chester Disease Presenting with SecondaryHypertension as a Result of Bilateral, Proximal Renal Artery Stenosis: A Case Report Erdheim-Chester disease (ECD) is a rare, non-Langerhans cell histiocytosis presenting most commonly with bone and central nervous system symptoms, including but not limited to bone pain and diabetes insipidus. We present a known case of ECD, which was referred for secondaryhypertension workup and diagnosed with severe, proximal, bilateral renal artery stenosis.
Liquorice: a root cause of secondaryhypertension We describe a patient presenting with hypertension and hypokalaemia who was ultimately diagnosed with liquorice- induced pseudohyperaldosteronism. This rare cause of secondaryhypertension illustrates the importance of a methodical approach to the assessment of hypertension.
Secondaryhypertension among children and adolescents: a clinical-based system review PROSPERO International prospective register of systematic reviews Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied
Secondaryhypertension in adults Secondaryhypertension occurs in a significant proportion of adult patients (~10%). In young patients, renal causes (glomerulonephritis) and coarctation of the aorta should be considered. In older patients, primary aldosteronism, obstructive sleep apnoea and renal artery stenosis are more prevalent than previously thought. Primary aldosteronism can be screened
The Use of the Ambulatory Arterial Stiffness Index in Patients Suspected of SecondaryHypertension The ambulatory arterial stiffness index (AASI) is a marker of arterial stiffness and is derived from ambulatory 24-h blood pressure registration. We studied whether the AASI could be used as a predictive factor for the presence of renal artery stenosis (RAS) in patients with a suspicion of secondaryhypertension and as such as a diagnostic tool for RAS. We included 169 patients with difficult-to-treat hypertension. They all underwent 24-h ambulatory blood pressure monitoring registration, imaging of the renal arteries, and cardiovascular risk measurement, including smoking, history, biometrics, blood pressure, renal function, lipids, and glucose metabolism. Performing univariate
Fibromuscular dysplasia in an adult male as a cause of renal artery stenosis and secondaryhypertension treated with renal artery stenting Renovascular hypertension due to fibromuscular dysplasia is an uncommon cause of secondaryhypertension and is more common in females. This entity is an important treatable cause of secondaryhypertension. We report the case of a 21-year-old asymptomatic male and treatment of this potentially treatable cause of secondaryhypertension.
Animal models for the study of primary and secondaryhypertension in humans Hypertension is a significant cause of morbidity and mortality worldwide. It is defined as systolic and diastolic blood pressures (SBP/DBP) >140 and 90 mmHg, respectively. Individuals with an SBP between 120 and 139, or DBP between 80 and 89 mmHg, are said to exhibit pre-hypertension. Hypertension can have primary
Adrenal Mass Causing SecondaryHypertension. Most hypertensive patients have essential (primary) hypertension; only 5% to 10% have a secondary cause. Two clinical characteristics suggestive of secondaryhypertension are early onset (< 30 years of age) and severe hypertension (>180/110 mm Hg). When faced with these findings, clinicians should consider a secondary cause of hypertension. A 22-year a large adrenal mass. Surgical resection was performed, leading to a diagnosis of hyperaldosteronism caused by adrenal carcinoma. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Secondaryhypertension is far less common than essential hypertension; however, considering the large volume of patients seen in emergency departments, it is likely that some will have secondaryhypertension. Emergency