内分泌高血压:提高全球认识的迫切需要。

TouchREVIEWS in endocrinology Pub Date : 2023-11-01 Epub Date: 2023-10-20 DOI:10.17925/EE.2023.19.2.11
Cornelius J Fernandez, Lakshmi Nagendra, Mohammed Alkhalifah, Joseph M Pappachan
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引用次数: 0

摘要

高血压影响着全球约 12.8 亿成年人,大大增加了患者的慢性发病率和死亡率。这些人中约有 15%患有继发性高血压,其中大多数人的高血压是由一种或多种内分泌系统功能失调引起的。虽然肾上腺疾病通常被认为是内分泌性高血压的病因,但肾上腺外疾病和垂体疾病也可导致该病。及时诊断至关重要,因为有可能通过手术治愈或通过药物治疗达到最佳的疾病控制效果,从而预防高血压并发症。尽管内分泌性高血压的发病率比许多其他慢性疾病都要高,但由于医生对该病的认识不足,内分泌性高血压的诊断往往被延误或从未确诊。本综述试图对该疾病进行概述,并对引起内分泌性高血压的几种重要疾病的诊断和管理提供一些实用的方法。
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Endocrine Hypertension: The Urgent Need for Greater Global Awareness.

Hypertension affects about 1.28 billion adults globally, and significantly increases the risk of chronic morbidity and mortality among sufferers. About 15% of these individuals have secondary hypertension, the majority of whom have dysfunction of one or more endocrine systems as the cause of hypertension. Although adrenal disorders are often identified as the cause of endocrine hypertension, extra-adrenal disease and pituitary disorders also can cause the disease. Timely diagnosis is of paramount importance, because of the potential for a surgical cure or optimal disease control with pharmacotherapy to prevent hypertensive complications. Even with its relatively high prevalence compared with many other chronic illnesses, the diagnosis of endocrine hypertension is often delayed or never made because of poor awareness about the disease among physicians. This review attempts to provide an overview of the disease, with some practical aspects of diagnosis and management of a few of the important disorders causing endocrine hypertension.

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