Rosenthal F D, Roy S
Br Med J. 1972 Nov 18;4(5837):396-7. doi: 10.1136/bmj.4.5837.396.
Of 40 patients with primary hyperparathyroidism 13 were hypertensive. Nine presented with hypertension and, of these, seven were discovered to have hyperparathyroidism by the routine determination of serum calcium in 900 patients referred for investigation of hypertension. The association of hypertension and hyperparathyroidism is well recognized but the cause is in doubt. The incidence of primary hyperparathyroidism in patients with hypertension is about 1 in 130, which is considerably higher than in the general population (1 in 1,000-2,000). All patients with hypertension should have a routine serum calcium estimation. Parathyroidectomy in these otherwise asymptomatic cases may prevent renal damage.
在40例原发性甲状旁腺功能亢进患者中，13例患有高血压。9例表现为高血压，其中7例是在对900例因高血压转诊进行检查的患者进行血清钙常规测定时发现患有甲状旁腺功能亢进。高血压与甲状旁腺功能亢进之间的关联已得到充分认识，但病因尚不清楚。高血压患者中原发性甲状旁腺功能亢进的发病率约为1/130，明显高于普通人群（1/1000 - 2000）。所有高血压患者都应进行血清钙常规测定。在这些无症状的病例中进行甲状旁腺切除术可能预防肾脏损害。
