Suppr超能文献

老年人群继发性高血压及实验室数据评估。

Evaluations of secondary hypertension and laboratory data in the elderly population.

作者信息

Chen Zheng-Wei, Chan Chieh-Kai, Lin Chia-Hung, Lee Chien-Feng, Lo Hao-Yun, Huang Yung-Cheng, Yeh Chih-Fan, Chen Michael Yu-Chih, Lai Tai-Shuan, Huang Kuo-Chin, Wu Vin-Cent, Chen Wen-Jone, Lin Yen-Hung

机构信息

Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan; Department of Internal Medicine, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan; Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.

Department of Internal Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu City, Taiwan.

出版信息

J Formos Med Assoc. 2025 Jul;124 Suppl 1:S24-S31. doi: 10.1016/j.jfma.2024.07.020. Epub 2024 Jul 19.

Abstract

Secondary hypertension in the elderly poses many challenges and requires a comprehensive diagnostic and management approach. This review explores the prevalence, diagnostic strategies, and treatment modalities for secondary hypertension in elderly patients, focusing on etiologies including primary aldosteronism, renal vascular disease, renal parenchymal disease, obstructive sleep apnea, thyroid disorders, Cushing's syndrome, pheochromocytomas and paragangliomas, and drug-induced hypertension. Key considerations include age-related changes in physiology and atypical presentations of underlying conditions necessitating thorough screening with a combination of clinical evaluation, laboratory tests, and imaging studies. Collaboration among healthcare providers is essential to ensure a timely diagnosis and personalized management tailored to the unique needs of elderly patients. Further research is needed to address knowledge gaps and optimize clinical strategies for managing secondary hypertension in this population.

摘要

老年继发性高血压带来诸多挑战,需要综合的诊断和管理方法。本综述探讨老年患者继发性高血压的患病率、诊断策略和治疗方式,重点关注包括原发性醛固酮增多症、肾血管疾病、肾实质疾病、阻塞性睡眠呼吸暂停、甲状腺疾病、库欣综合征、嗜铬细胞瘤和副神经节瘤以及药物性高血压等病因。关键考虑因素包括生理方面与年龄相关的变化以及潜在疾病的非典型表现,这需要通过临床评估、实验室检查和影像学研究相结合进行全面筛查。医疗服务提供者之间的协作对于确保及时诊断以及根据老年患者的独特需求进行个性化管理至关重要。需要进一步研究以填补知识空白并优化该人群继发性高血压的临床管理策略。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验