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Chapter 12. Secondary hypertension

More article options. DOI: Diagnosis of secondary hypertension causing miscarriage during the first trimester of pregnancy. Download PDF. Fikri Benbrahim a , R.. Cazalla Cadenas a , A.. This item has received. Article information. To the Editor, Uncontrolled arterial hypertension AHT during pregnancy compromises correct gestation development. We describe the case of a year-old pregnant woman who was referred to our unit after having suffered a miscarriage in the tenth week of gestation.

In the tenth week of pregnancy, the patient had a miscarriage and was referred to the outpatient nephrology unit. She had no distal oedemas or other data of interest. Supplementary tests 1.


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Haemogram: normal. Venous gasometry: normal. Chest X-ray: no pathological findings.


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Electrocardiogram: sinus rhythm, no blockages or signs of ischaemia. Funduscopy: normal. Anatomopathological exam of the placenta: normal.

The examination was completed with a CT with contrast medium and magnetic resonance imaging, which revealed a 1cm-adenoma in the left suprarenal gland Figure 1. At present, BP is controlled with 50mg of spironolactone per day, and the patient is waiting for a left suprarenalectomy to avoid complications in future pregnancies. It is not usually associated with oedemas or proteinuria and BP normalises after the birth, although high BP levels can persist up to 10 days following delivery. In our study, having dismissed previous essential ATH and pre-eclampsia, we investigated the possibility of secondary ATH, and finally diagnosed primary hyperaldosteronism from the supplementary tests mentioned above.

Approach to the patient with hypertension and hypokalemia. UpToDate Lobular pattern of choriocapillaris in pre-eclampsia with aldosteronism. Ophthalmol ;74 11 Primary aldosteronism in pregnancy. J Nippon Med Sch ;67 4 Revista Nefrolog?? Manual de hipertensi?? Int J Gynaecol Obstet ; Diagnosis and management of primary aldosteronism in pregnancy: case report and review of the literature. Am J Perinatol ;19 1 Villa Alc?? Medimecum The adrenal incidentaloma: treatment, unilateral adrenal masses.

Laparoscopic adrenalectomy on a patient with primary aldosteronism during pregnancy. Endocr J ;53 4 Epub Jul 5. Zafer Nursal T,??

Common Causes of Secondary Hypertension

Caliskan K,?? Ertorer E,?? Parlakgumus A,?? Moray G. Laparoscopic treatment of primary hyperaldosteronism in a pregnant patient. Can J Surg ;52 5 :EE Subscribe to our newsletter. Print Send to a friend Export reference Mendeley Statistics. The role of women throughout the history of This work is licensed under a Creative Commons Attribution 4. Instructions for authors Submit an article Ethics in publishing. Article options. Are you a health professional able to prescribe or dispense drugs?

Secondary hypertension - Symptoms and causes - Mayo Clinic

Renovascular hypertension is often caused by the same type of fatty plaques that can damage your coronary arteries atherosclerosis or a separate condition in which the muscle and fibrous tissues of the renal artery wall thicken and harden into rings fibromuscular dysplasia. This condition can cause irreversible kidney damage.

Medical conditions affecting hormone levels may also cause secondary hypertension. These conditions may include:. Sleep apnea. In this condition, often marked by severe snoring, breathing repeatedly stops and starts during sleep, causing you to not get enough oxygen.

Diagnosing Secondary Hypertension

Not getting enough oxygen may damage the lining of the blood vessel walls, which may make your blood vessels less effective in regulating your blood pressure. In addition, sleep apnea causes part of the nervous system to be overactive and release certain chemicals that increase blood pressure. As you gain weight, the amount of blood circulating through your body increases. This puts added pressure on your artery walls, increasing your blood pressure. Excess weight often is associated with an increase in heart rate and a reduction in the capacity of your blood vessels to transport blood.

In addition, fat deposits can release chemicals that raise blood pressure. All of these factors can cause hypertension. Medications and supplements. Various prescription medications — such as pain relievers, birth control pills, antidepressants and drugs used after organ transplants — can cause or aggravate high blood pressure in some people.

Overview and Screening

Over-the-counter decongestants and certain herbal supplements, including ginseng, licorice and ephedra ma-huang , may have the same effect. Many illegal drugs, such as cocaine and methamphetamine, also increase blood pressure. The greatest risk factor for having secondary hypertension is having a medical condition that can cause high blood pressure, such as kidney, artery, heart or endocrine system problems. Secondary hypertension can worsen the underlying medical condition you have that's causing your high blood pressure.

If you don't receive treatment, secondary hypertension can also be associated with other medical conditions, such as:.

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Metabolic syndrome. This syndrome is a cluster of disorders of your body's metabolism — including increased waist circumference, high triglycerides, low high-density lipoprotein HDL cholesterol the "good" cholesterol , high blood pressure and high insulin levels. If you have high blood pressure, you're more likely to have other components of metabolic syndrome. The more components you have, the greater your risk of developing diabetes, heart disease or stroke. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.

This content does not have an English version. This content does not have an Arabic version. Overview Secondary hypertension secondary high blood pressure is high blood pressure that's caused by another medical condition. Request an Appointment at Mayo Clinic.


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