Dinis Paulo Gomes, Cachulo Maria Carmo, Fernandes Andreia, Paiva Luis, Gonçalves Lino
Serviço de Cardiologia. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
Acta Med Port. 2017 Jun 30;30(6):493-496. doi: 10.20344/amp.8007.
Arterial hypertension is regarded today as a global public health problem, and the prevalence rate in Portugal is 26.9%. According to the etiology, is classified into primary or secondary arterial hypertension. In about 90% of cases it is not possible to establish a cause, so is called primary arterial hypertension. In the remaining 5 to 10%, it can be identified secondary causes, which are potentially treatable. For secondary arterial hypertension study to be cost-effective, it is essential to understand which patients investigate, and evaluate the best strategy to adopt. The main causes identified as responsible for secondary arterial hypertension are: kidney disease; endocrine and vascular diseases and obstructive sleep apnea. Among these some are consensual, and others more controversial in the literature. In this regard we present two cases of arterial hypertension, which are potentially secondary in etiology, but still focus of debate.
动脉高血压如今被视为一个全球性的公共卫生问题，在葡萄牙的患病率为26.9%。根据病因，可分为原发性或继发性动脉高血压。在大约90%的病例中，无法确定病因，因此称为原发性动脉高血压。在其余5%至10%的病例中，可以确定潜在可治疗的继发性病因。为使继发性动脉高血压的研究具有成本效益，了解对哪些患者进行检查并评估最佳治疗策略至关重要。被确定为继发性动脉高血压病因的主要因素有：肾脏疾病；内分泌和血管疾病以及阻塞性睡眠呼吸暂停。其中一些因素是公认的，而另一些在文献中则更具争议性。在这方面，我们介绍两例动脉高血压病例，其病因可能为继发性，但仍存在争议。
