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Evaluation and Management of Secondary Hypertension

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Diabetes and Hypertension

Part of the book series: Contemporary Diabetes ((CDI))

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Abstract

Most patients who present with elevated blood pressure (BP) will have essential (idiopathic) hypertension; extensive laboratory evaluation for secondary causes in these patients is low-yield and cost-prohibitive. However, identification of a secondary cause may often lead to a cure of the elevated BP or to a decrease in the number and/or doses of antihypertensive agents and a reduction in the long-term cardiovascular risks of hypertension. This chapter will focus on two important causes of secondary hypertension: renovascular stenosis and primary aldosteronism. Other causes of secondary hypertension include primary renal disease, oral contraceptive use, pheochromocytoma, Cushing’s syndrome, sleep apnea syndrome, and coarctation of the aorta. Clinical features which are suggestive of these disorders are given in Table 2.1.

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Correspondence to Nathaniel Winer M.D. .

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Winer, N. (2012). Evaluation and Management of Secondary Hypertension. In: McFarlane, S., Bakris, G. (eds) Diabetes and Hypertension. Contemporary Diabetes. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60327-357-2_2

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  • DOI: https://doi.org/10.1007/978-1-60327-357-2_2

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  • Publisher Name: Humana Press, Totowa, NJ

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