Who should be screened for secondary causes of hypertension?

Who should be screened for secondary causes of hypertension?

Authors

  • Andrea Semplicini UOC Medicina Interna 1, Ospedale SS. Giovanni e Paolo, ULSS 12 Veneziana, Venezia, e Dipartimento di Medicina, Università degli Studi di Padova
  • Chiara Sandonà UOC Medicina Interna 1, Ospedale SS. Giovanni e Paolo, ULSS 12 Veneziana, Venezia, e Dipartimento di Medicina, Università degli Studi di Padova
  • Federica Stella UOC Medicina Interna 1, Ospedale SS. Giovanni e Paolo, ULSS 12 Veneziana, Venezia, e Dipartimento di Medicina, Università degli Studi di Padova
  • Tommaso Grandi UOC Medicina Interna 1, Ospedale SS. Giovanni e Paolo, ULSS 12 Veneziana, Venezia, e Dipartimento di Medicina, Università degli Studi di Padova

DOI:

https://doi.org/10.7175/cmi.v5i4.498

Keywords:

Resistant hypertension, Secondary hypertension, Arterial hypertension

Abstract

The case of a 34-year-old patient with uncontrolled hypertension is described in this article, together with the diagnostic path followed in order to make the diagnosis, that finally reveals an arteriovenous fistula due to an old kidney biopsy. Uncontrolled or resistant hypertension may be caused by unrecognized secondary hypertension: we revise the clinical and laboratory criteria for selecting hypertensive patients in whom to look for secondary hypertension through the most appropriate diagnostic work up. A synthesis of the main causes of secondary hypertension is also provided in the discussion.

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Published

2011-12-15

Issue

Vol. 5 No. 4 (2011)

Section

Case report

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