患有高血压和低钾血症的年轻运动员。

IF 6.9 1区医学 Q1 PERIPHERAL VASCULAR DISEASE

Hypertension Pub Date : 2024-10-16 DOI:10.1161/hypertensionaha.124.23348

Antoine-Guy Lopez,Dominique Guerrot

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引用次数: 0

摘要

我们描述了一名 17 岁女性在服用复方口服避孕药后，在常规随访中被诊断出患有严重高血压。起初，由于她的年龄、含雌二醇的避孕药和高水平的体育锻炼，医生怀疑是药物引起的高血压。血液化验显示为低钾血症，进一步检查发现为假性醛固酮增多症。在排除了中毒原因后，医生怀疑并通过基因检测证实了利德尔综合征。最佳治疗方法受到反兴奋剂规则的限制。本病例报告强调了对年轻患者继发性高血压病因进行早期系统检查的必要性，并强调了运动员高血压诊断和治疗方面的挑战。

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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Young Athlete With Hypertension and Hypokalemia.

We describe a 17-year-old woman diagnosed with severe hypertension during routine follow-up after the prescription of a combined oral contraceptive pill. Initially, due to her age, the estradiol-containing contraception, and high-level sport practice, physicians suspected drug-induced hypertension. Blood tests showed hypokalemia, and further investigations revealed pseudoaldosteronism. After the exclusion of toxic causes, Liddle syndrome was suspected and confirmed by genetic testing. Optimal therapeutic management was limited by anti-doping rules. This case report emphasizes the need for an early and systematic workup for causes of secondary hypertension in young patients and underlines diagnostic and therapeutic challenges in the management of hypertension in athletes.

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来源期刊

Hypertension 医学-外周血管病

CiteScore

15.90

自引率

4.80%

发文量

1006

审稿时长

1 months

期刊介绍： Hypertension presents top-tier articles on high blood pressure in each monthly release. These articles delve into basic science, clinical treatment, and prevention of hypertension and associated cardiovascular, metabolic, and renal conditions. Renowned for their lasting significance, these papers contribute to advancing our understanding and management of hypertension-related issues.