Leone Alessandra, Pisaneschi Silvia, Montereggi Francesco, Canu Letizia, Corsini Elisa, Mannelli Massimo, Montereggi Alessio
S.O.D. di cardiologia Invasiva 2, San Luca, AOU Careggi, Firenze.
G Ital Cardiol (Rome). 2013 Jun;14(6):477-80. doi: 10.1714/1280.14164.
Secondary hypertension accounts for 10-15% of all cases of hypertension, and early diagnosis with identification of its etiology can be challenging. In this scenario, therapeutic management of affected patients may be difficult. Hypercortisolism is one of the possible causes of secondary hypertension, but its low prevalence and atypical clinical symptoms can lead to a delayed diagnosis. The complex clinical presentation and potential complications need a close collaboration among different clinicians in order to plan optimal or new treatment protocols.
继发性高血压占所有高血压病例的10%-15%，早期诊断并确定其病因可能具有挑战性。在这种情况下，对受影响患者的治疗管理可能很困难。皮质醇增多症是继发性高血压的可能病因之一，但其低患病率和非典型临床症状可能导致诊断延迟。复杂的临床表现和潜在并发症需要不同临床医生密切合作，以制定最佳或新的治疗方案。
