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高血压的单基因病因。

Monogenic Etiology of Hypertension.

机构信息

Department of Pediatrics, Medical College of Wisconsin, Suite 510, 999 North 92nd Street, Milwaukee, WI 53226, USA.

Department of Pediatrics, Medical College of Wisconsin, Suite 510, 999 North 92nd Street, Milwaukee, WI 53226, USA.

出版信息

Med Clin North Am. 2024 Jan;108(1):157-172. doi: 10.1016/j.mcna.2023.06.005. Epub 2023 Jul 27.

Abstract

Monogenic hypertension encompasses a group of conditions wherein single gene mutations result in increased renal sodium reabsorption manifesting as low renin hypertension. As these diseases are rare, their contribution to hypertension in children and adolescents is often overlooked. Precise diagnosis is essential in those who have not been found to have more common identifiable causes of hypertension in adolescents, since treatment strategies for these rare conditions are specific and different from antihypertensive regimens for the other more common causes of hypertension in this age group. The objective of this review is to provide insight to the rare, monogenic forms of hypertension.

摘要

单基因高血压包括一组疾病,其中单个基因突变导致肾脏钠重吸收增加,表现为低肾素性高血压。由于这些疾病较为罕见,因此它们在儿童和青少年中的高血压发病机制中常被忽视。对于那些尚未发现青少年高血压更常见的可识别病因的患者,精确诊断至关重要,因为这些罕见疾病的治疗策略是特定的,与该年龄段其他更常见的高血压病因的降压方案不同。本文的目的是提供对罕见的单基因高血压形式的深入了解。

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