Med. praxi. 2025;22(3):173-175 | DOI: 10.36290/med.2025.042

When to consider secondary hypertension?

MUDr. Barbora Nussbaumerová, Ph.D.

Centrum preventivní kardiologie, II. interní klinika LF a FN v Plzni, UK v Praze

Secondary arterial hypertension has a specific and, in some cases, treatable underlying cause. Secondary hypertension should be considered in young hypertensive patients, in those with resistant arterial hypertension, and when typical signs suggestive of a se­condary cause are present. Secondary hypertension may account for up to 15 % of all hypertension cases. Excluding pseudoresistance due to non-adherence to treatment, the most common causes include primary hyperaldosteronism, renoparenchymal or renovascular hypertension, hypercortisolism, pheochromocytoma, sleep apnea syndrome, aortic coarctation, substance or alcohol abuse, the use of certain medications, and other iatrogenic causes. With early diagnosis and appropriate treatment, the patient may be fully recovered.

Keywords: secondary hypertension, general practitioner, diagnosis, treatment.

Received: April 15, 2025; Revised: May 12, 2025; Accepted: May 16, 2025; Published: June 26, 2025  Show citation