Does targeted diagnostics for secondary hypertension improve blood pressure control in patients with resistant or atypical hypertension?
Targeted diagnostics for secondary hypertension are crucial in patients with resistant or atypical hypertension, as specific therapy can normalize or improve blood pressure.
In secondary hypertension, elevated blood pressure is caused by a known and/or potentially treatable underlying disease.Although the prevalence of secondary hypertension depends on the patient population and the thoroughness of applied diagnostic approaches, arterial hypertension is classified in 90 to 95% as primary in nature. In young patients, individuals without a family history of hypertension, late onset of hypertension or worsening of a previous well-controlled hypertension as well as in patients who have a difficult to treat hypertension, the prevalence of secondary hypertension is significantly higher.Because the identification and the specific therapy of secondary hypertension may result in normalisation or improvement of elevated blood pressure in many cases, a targeted diagnostics is of great importance.
Sudano et al. (Mon,) studied this question.