[Hormonal Assessment of Secondary Hypertension - How to do it and what to expect?]

Presse Med. 2019 Dec;48(12):1445-1455. doi: 10.1016/j.lpm.2019.09.048. Epub 2019 Nov 21.
[Article in French]

Abstract

The Hormonal assessment of Arterial Hypertension (HTA) is an important part of the balance of resistant hypertension. This assessment - going well beyond the search for primary hyperaldosteronism (PHA) - requires a rigorous methodology and a robust experience of the nursing team within a dedicated unit: the HTA Day Hospital. If all the conditions are met and the assessment carried out well, it will allow a significant profitability since in this resistant hypertensive population it will detect a particular mechanism or secondary hypertension in 70% of patients. Since the diagnosis of PHA is essentially biological, the proper execution of the various stages of the assessment is essential to its documentation.

Publication types

  • Review

MeSH terms

  • Aldosterone / analysis
  • Aldosterone / blood
  • Antihypertensive Agents / therapeutic use
  • Blood Chemical Analysis / methods
  • Blood Chemical Analysis / standards
  • Diagnosis, Differential
  • Diagnostic Techniques, Endocrine* / standards
  • Drug Resistance / drug effects
  • Hormones / analysis*
  • Hormones / blood
  • Humans
  • Hyperaldosteronism / diagnosis
  • Hypertension / blood
  • Hypertension / diagnosis*
  • Hypertension / drug therapy
  • Hypertension / etiology
  • Renin / analysis
  • Renin / blood

Substances

  • Antihypertensive Agents
  • Hormones
  • Aldosterone
  • Renin