继发性高血压：评估与管理。
Secondary hypertension: evaluation and management.
机构信息
Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School, The University of Queensland School of Medicine, New Orleans, Louisiana USA.
出版信息
Curr Opin Cardiol. 2023 Jul 1;38(4):318-325. doi: 10.1097/HCO.0000000000001059. Epub 2023 Apr 25.
PURPOSE OF REVIEW
Hypertension (HTN) that can be attributed to a particular source is known as secondary HTN (SH). Often, SH is difficult to control and thus referred to as resistant HTN, although the two terms are not mutually exclusive.
RECENT FINDINGS
A common theme across several contributors to SH are coactivation of the sympathetic drive and hormonal changes, independent of hormonal axis activation. The key to effective management of SH is early recognition and treatment to avoid catastrophic cardiovascular disease effects and mortality.
SUMMARY
This review article provides a contemporary summary of the conditions associated with SH and briefly reviews diagnostics and management.
目的综述
可归因于特定病因的高血压（HTN）称为继发性高血压（SH）。通常，SH 难以控制，因此被称为难治性高血压，尽管这两个术语并不互斥。
最近的发现
SH 的几个病因中一个共同的主题是交感神经驱动和激素变化的共同激活，而与激素轴的激活无关。有效管理 SH 的关键是早期识别和治疗，以避免灾难性的心血管疾病影响和死亡率。
总结
本文对与 SH 相关的疾病进行了现代综述，并简要回顾了诊断和治疗。
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