Investigating secondary hypertension in cerebrovascular disease.

IF 2.4 Q2 CLINICAL NEUROLOGY

PRACTICAL NEUROLOGY Pub Date : 2024-09-24 DOI:10.1136/pn-2024-004169

Claudia Zeicu, Marie Fisk, Nicholas Richard Evans

引用次数: 0

Abstract

Hypertension is the leading cause of stroke in the UK and worldwide. In recent years, stroke incidence has increased by 30%-41.5% in people aged under 64 years, with the prevalence of hypertension increasing by 4%-11%. Given that 5%-10% of people with hypertension in the general population have an underlying cause for their elevated blood pressure, it is important that all clinicians should maintain a high clinical suspicion for secondary hypertension. This review provides a clinical perspective of when to consider the underlying causes of secondary hypertension, with investigation algorithms for patients presenting with stroke and hypertension. Early involvement of hypertension specialist services is important to identify secondary causes of hypertension, as its effective control reduces cardiovascular-associated morbidity.

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调查脑血管疾病的继发性高血压。

在英国和全世界，高血压都是导致中风的主要原因。近年来，64 岁以下人群的中风发病率增加了 30%-41.5%，高血压发病率增加了 4%-11%。鉴于普通人群中有 5%-10%的高血压患者有导致血压升高的潜在原因，所有临床医生都应保持对继发性高血压的高度临床怀疑。本综述从临床角度阐述了何时考虑继发性高血压的潜在病因，并提供了针对卒中合并高血压患者的调查算法。高血压专科服务的早期参与对于识别继发性高血压的病因非常重要，因为有效控制高血压可降低心血管相关发病率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

PRACTICAL NEUROLOGY Medicine-Neurology (clinical)

CiteScore

3.70

自引率

3.60%

发文量

113

期刊介绍： The essential point of Practical Neurology is that it is practical in the sense of being useful for everyone who sees neurological patients and who wants to keep up to date, and safe, in managing them. In other words this is a journal for jobbing neurologists - which most of us are for at least part of our time - who plough through the tension headaches and funny turns week in and week out. Primary research literature potentially relevant to routine clinical practice is far too much for any neurologist to read, let alone understand, critically appraise and assimilate. Therefore, if research is to influence clinical practice appropriately and quickly it has to be digested and provided to neurologists in an informative and convenient way.