Our knowledge of secondary hypertension has grown significantly in recent years with the introduction of new diagnostic tools, biochemical tests, and drugs. In Secondary Hypertension: Clinical Presentation, Diagnosis, and Treatment, world-renowned researchers and clinicians critically evaluate and summarize the latest ideas about the screening, diagnosis, and medical/surgical treatment of secondary hypertension in adults and children. Drawing on a variety of medical disciplines-including nephrology, endocrinology, internal medicine, and pediatrics-the book's authors review the critical scenarios that should prompt a search for secondary forms of hypertension and discuss appropriate testing for these uncommon disorders. Additional coverage is given to exogenous or such less-appreciated causes of secondary hypertension as obstructive sleep apnea, primary aldosteronism, renovascular hypertension, and the effects of noncardiac drugs.
Comprehensive and up-to-date, Secondary Hypertension: Clinical Presentation, Diagnosis, and Treatment is an indispensable guide for physicians seeking the special knowledge and expertise needed to diagnose and treat the many varieties of secondary hypertension in adults and children.

Klappentext

Secondary forms of hypertension are not uncommon in clinical prac­ tice, but they are often overlooked or forgotten by clinicians in many fields of medicine. Dr. George Mansoor' s volume on Secondary Hyper­ tension is an important contribution to the field of clinical hypertension and vascular diseases, since it brings up to date the numerous diagnostic and therapeutic advances in the evaluation for secondary types of hyper­ tension. In the past, textbooks usually stated that an etiology could be determined in less than 5% of patients presenting with newly diagnosed hypertension. We now know this is far too low a proportion (e.g., pri­ mary hyperaldosteronism alone may account for hypertension in 5% of patients presenting with chronic elevations in blood pressure). Secondary Hypertension has been thoughtfully organized into chap­ ters evaluating screening and diagnosis, as well as medical and/or sur­ gical intervention of the well-known etiologies of secondary hypertension in adults and children. Additional coverage is given to such exogenous or lesser appreciated causes of secondary hypertension as obstructive sleep apnea and drugs. These sections make this book novel because in the past little attention has been paid to the effects of noncar­ diac drugs that interfere with antihypertensive therapy or to exogenous substances that might induce refractory hypertension.

Inhalt

Part I. Introduction Refractory Hypertension George A. Mansoor Iatrogenic and Drug-Induced Hypertension Ehud Grossman and Franz H. Messerli Part II. Renal Disease and Secondary Hypertension Hypertension in Chronic Kidney Disease Robert D. Toto Diagnostic Evaluation for Patients With Renovascular Hypertension Sumeska Thavarajah and William B. White Interventional Treatments for Renal Artery Stenosis George A. Mansoor Medical Management of Renovascular Hypertension Vincent J. Canzanello Primary Reninism or Renin-Secreting Tumors Timothy L. Reudelhuber Part III. Adrenal Cortex and Hypertension Primary Aldosteronism: Diagnosis William F. Young, Jr. Medical Management of Primary Aldosteronism Emmanuel L. Bravo Primary Aldosteronism: Surgical Approaches Mihir M. Desai and Inderbir S. Gill Nonprimary Aldosteronism: Mineralocorticoid Disorders William T. Kendrick, Jean-Michel Achard, and David G. Warnock Hypertension in Cushing's Syndrome Judith A. Whitworth, George J. Mangos, and John J. Kelly Part IV. Adrenal Medulla and Hypertension Biochemical Diagnosis and Localization of Pheochromocytoma Emmanuel L. Bravo Pheochromocytoma Treatment Carl D. Malchoff, Dougald MacGillivray, and Steven Shichman New Insights into Pseudopheochromocytoma and Emotionally Provoked Hypertension Otto Kuchel Part V. Children and Secondary Hypertension Secondary Hypertension in Children and Adolescents Empar Lurbe and Josep Redon Part VI. Sleep Apnea and Hypertension Sleep Apnea and Hypertension Thomas G. Pickering and Mona Yacoub Index