<abstract xmlns="http://www.w3.org/1999/xhtml"><p> Secondary hypertension occurs in 5-10% of cases in the patient population with primary hypertension. The most common forms of secondary hypertension are as follows: parenchymal renal disease (renoparenchymal hypertension), renal artery stenosis (renovascular hypertension), adrenal gland adenoma (primary hyperaldosteronism), a tumour of the adrenal gland marrow (pheochromocytoma) and adenoma of adrenal and pituitary glands (Cushing’s syndrome). In patients with a typical clinical picture of secondary hypertension, the appropriate diagnostic tests should be conducted based on the suspected form of secondary hypertension. Determining a diagnosis of secondary hypertension is gradual. First, the appropriate screening tests are performed. If the screening test is positive, then additional tests to confirm the forms of secondary hypertension are conducted. Once a diagnosis of the appropriate form of secondary hypertension is confirmed, tests to distinguish causes and laterality tests to determine the precise localisation of the pathological process are applied to evaluate the response to therapy. Analysing the results of endocrine diagnostic tests provides an accurate diagnosis and selection of optimal therapeutic procedures. </p></abstract>

Secondary hypertension occurs in 5-10% of cases in the patient population with primary hypertension. The most common forms of secondary hypertension are as follows: parenchymal renal disease (renoparenchymal hypertension), renal artery stenosis (renovascular hypertension), adrenal gland adenoma (primary hyperaldosteronism), a tumour of the adrenal gland marrow (pheochromocytoma) and adenoma of adrenal and pituitary glands (Cushing’s syndrome). In patients with a typical clinical picture of secondary hypertension, the appropriate diagnostic tests should be conducted based on the suspected form of secondary hypertension. Determining a diagnosis of secondary hypertension is gradual. First, the appropriate screening tests are performed. If the screening test is positive, then additional tests to confirm the forms of secondary hypertension are conducted. Once a diagnosis of the appropriate form of secondary hypertension is confirmed, tests to distinguish causes and laterality tests to determine the precise localisation of the pathological process are applied to evaluate the response to therapy. Analysing the results of endocrine diagnostic tests provides an accurate diagnosis and selection of optimal therapeutic procedures.

Secondary Hypertension: Differential Diagnosis and Basic Principles of Treatment

Medicines and Medical Devices Agency of Serbia, 458 Vojvode Stepe Street, 11221 Belgrade,

Faculty of Medical Sciences, University of Kragujevac, Kragujevac,

Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia

Center of Nephrology and Dialysis, Department of Urology and Nephrology, Clinical Center Kragujevac, Kragujevac,

Experimental and Applied Biomedical Research (EABR)

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

{"article-title":"Secondary Hypertension: Differential Diagnosis and Basic Principles of Treatment"}

Secondary hypertension occurs in 5-10% of cases in the patient population with primary hypertension. The most common forms of secondary hypertension are as...

Secondary Hypertension: Differential Diagnosis and Basic Principles of Treatment

Publié en ligne: 13 déc. 2016

Pages: 349 - 356

Reçu: 26 oct. 2015

Accepté: 10 nov. 2015

DOI: https://doi.org/10.1515/sjecr-2015-0056

Mots clés
secondary hypertension, renoparenchymal hypertension, renovascular hypertension, primary aldosteronism, pheochromocytoma, Cushing’s syndrome

© 2016

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Secondary Hypertension: Differential Diagnosis and Basic Principles of Treatment

Publié en ligne: 13 déc. 2016

Pages: 349 - 356

Reçu: 26 oct. 2015

Accepté: 10 nov. 2015

DOI: https://doi.org/10.1515/sjecr-2015-0056

Mots cléssecondary hypertension, renoparenchymal hypertension, renovascular hypertension, primary aldosteronism, pheochromocytoma, Cushing’s syndrome

© 2016

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Mots clés
secondary hypertension, renoparenchymal hypertension, renovascular hypertension, primary aldosteronism, pheochromocytoma, Cushing’s syndrome