The Most Frequent Forms of Endocrine Caused Hypertension
Nejčastější formy endokrinně podmíněné hypertenze
Endokrinní hypertenze (nadledvinami podmíněná – primární hyperaldosteronizmus, hyperkortizolizmus a feochromocytom)byla dlouho považována za vzácnou příčinu arteriální hypertenze. Práce z posledních let však ukazujívýrazně častější výskyt primárního hyperaldosteronizmu mezi hypertoniky a z tohoto důvodu je nutné primárníhyperaldosteronizmus vyloučit u všech nemocných s těžší formou arteriální hypertenze. Naopak feochromocytoma hyperkortizolizmus mohou být často přehlédnuty u pacientů s náhodně zjištěným tumorem nadledviny a takto pakmohou způsobit nečekané per- a pooperační komplikace.
Klíčová slova:
endokrinní hypertenze, primární hyperaldosteronizmus, feochromocytom, hyperkortizolizmus.
Authors:
T. Zelinka; J. Widimský
Authors‘ workplace:
III. interní klinika 1. LF UK a VFN
Published in:
Čas. Lék. čes. 2003; : 197-201
Category:
Overview
Endocrine (adrenal) hypertension (primary aldosteronism, hypercortisolism and pheochromocytoma) had beenconsidered for a long time as a rare cause of arterial hypertension. However, recent studies have shown a frequentincidence of primary aldosteronism among hypertensive subjects and therefore it is nessessary to exclude primaryaldosteronism in all subjects with severe hypertension. On the contrary, pheochromocytoma and hypercortisolismmay be often overlooked in patients with incidentally found adrenal tumor and thus they can cause unexpected perandpostoperative complications.
Key words:
endocrine hypertension, primary aldosteronismus, pheochromocytoma, hypercortisolism.
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