This review provides an overview of the differential diagnosis and pathophysiologically guided treatment options for low-renin hypertension subtypes.
May inform differential diagnosis and treatment selection in low-renin hypertension; leaves open need for prospective validation.
Plasma renin levels can be used to classify hypertension. A significant proportion of hypertensive individuals display a low-renin profile and thus low-renin hypertension (LRH) requires appropriate diagnosis and treatment. LRH includes essential, secondary and genetic forms, the most common of which are low-renin essential hypertension and primary aldosteronism. Several studies have investigated the relationship between PRA status and clinical response to different antihypertensive therapies. The present review will discuss the differential diagnosis of LRH subtypes and the most appropriate treatment options based on the pathophysiological background of this condition.
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Mulatero et al. (2007) studied this question.
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