摘要
当前多数高血压指南推荐在建立原发性高血压诊断前需排除继发性高血压,但在临床实践中执行很差,大多数高血压患者并未查找高血压的原因,导致继发性高血压的患病率被明显低估。早期发现高血压的原因是关键,因为及时诊断可更好控制或治愈这种高血压。本文扼要介绍了当前继发性高血压在定义、患病率、筛查等方面面临的争议和挑战,以便进一步提高认识和指导临床实践。
Currently,most of hypertension guidelines recommend that essential hypertension can be established after excluding secondary hypertension,which is however poorly practiced in clinical work.The vast majority of hypertensive patients have never been explored for a cause of their high blood pressure.The prevalence of secondary hypertension is,therefore,markedly underestimated.The early detection of secondary hypertension is crucial,because if the diagnosis could be made in a timely manner,we can expect a better control or cure of hypertension in these patients.The present review focuses on the controversy over definition,prevalence and detection of secondary hypertension,to provide updated concise information on the understanding of the challenges in this field.
作者
蒋雄京
唐礼江
姜一农
高润霖
JIANG Xiongjing;TANG Lijiang;JIANG Yinong;GAO Runlin(The Center of Vascular Diseases,National Center for Cardiovascular Diseases and Fuwai Hospital,CAMS and PUMC,Beijing(100037),China)
出处
《中国循环杂志》
CSCD
北大核心
2022年第9期876-880,共5页
Chinese Circulation Journal
关键词
继发性高血压
定义
筛查
争议
secondary hypertension
definition
screening
controversy