Kohara Katsuhiko
Department of Geriatric Medicine, Ehime University School of Medicine.
Nihon Rinsho. 2005 Jun;63(6):1091-5.
The prevalence of secondary hypertension is higher in the elderly population. Renal hypertension is the most prevalent. The prevalence of renovascular hypertension (RVH) increases with age. Since RVH in the elderly is frequently associated with systemic atherosclerosis, other atherosclerotic disorders including ischemic heart disease need to be evaluated. The prevalence of primary aldosteronism and Cushing's syndrome decreases with age, while that of pheochromocytoma persists in the elderly population. Due to lack of classical symptoms, special attention should be paid to find pheochromocytoma in the elderly.
继发性高血压在老年人群中的患病率较高。肾性高血压最为常见。肾血管性高血压（RVH）的患病率随年龄增长而增加。由于老年人的RVH常与全身动脉粥样硬化相关，因此需要评估包括缺血性心脏病在内的其他动脉粥样硬化性疾病。原发性醛固酮增多症和库欣综合征的患病率随年龄增长而降低，而嗜铬细胞瘤在老年人群中的患病率持续存在。由于缺乏典型症状，在老年人中发现嗜铬细胞瘤时应特别注意。
