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Postgrad Med J 87:706-713 doi:10.1136/pgmj.2011.118661
  • Review

Secondary hypertension: a condition not to be missed

  1. Norlela Sukor
  1. Endocrine Unit, Department of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
  1. Correspondence to Associate Professor Dr Norlela Sukor, Department of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, 56000 Cheras, Kuala Lumpur, Malaysia; drlela2020{at}yahoo.com
  • Received 31 January 2011
  • Accepted 13 June 2011
  • Published Online First 11 July 2011

Abstract

Hypertension is a chronic disorder which often entails debilitating cardiovascular and renal complications. Hypertension mostly arises as a complex quantitative trait that is affected by varying combinations of genetic and environmental factors. Secondary hypertension has been encountered with increasing frequency. The common causes of secondary hypertension include renal parenchymal disease, renal artery stenosis, primary aldosteronism, phaeochromocytoma, and Cushing's syndrome. The detection of a secondary cause is of the utmost importance because it provides an opportunity to convert an incurable disease into a potentially curable one. Early identification and treatment will provide a better opportunity for cure, prevent target organ damage, reduce socioeconomic burden and health expenditure associated with drug costs, and improve patients' quality of life. Hence, it is a condition not to be missed.

Footnotes

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.


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