继发性高血压:当前的困惑与争议  

Secondary Hypertension:Current Confusion and Controversy

作　　者：蒋雄京[1] 唐礼江[3] 姜一农[4] 高润霖[2] JIANG Xiongjing;TANG Lijiang;JIANG Yinong;GAO Runlin(The Center of Vascular Diseases,National Center for Cardiovascular Diseases and Fuwai Hospital,CAMS and PUMC,Beijing(100037),China)

机构地区：[1]中国医学科学院北京协和医学院国家心血管病中心阜外医院血管病中心,北京市100037 [2]中国医学科学院北京协和医学院国家心血管病中心阜外医院冠心病中心,北京市100037 [3]浙江医院心内科 [4]大连医科大学第一附属医院心内科

出　　处：《中国循环杂志》2022年第9期876-880,共5页Chinese Circulation Journal

摘　　要：当前多数高血压指南推荐在建立原发性高血压诊断前需排除继发性高血压,但在临床实践中执行很差,大多数高血压患者并未查找高血压的原因,导致继发性高血压的患病率被明显低估。早期发现高血压的原因是关键,因为及时诊断可更好控制或治愈这种高血压。本文扼要介绍了当前继发性高血压在定义、患病率、筛查等方面面临的争议和挑战,以便进一步提高认识和指导临床实践。Currently,most of hypertension guidelines recommend that essential hypertension can be established after excluding secondary hypertension,which is however poorly practiced in clinical work.The vast majority of hypertensive patients have never been explored for a cause of their high blood pressure.The prevalence of secondary hypertension is,therefore,markedly underestimated.The early detection of secondary hypertension is crucial,because if the diagnosis could be made in a timely manner,we can expect a better control or cure of hypertension in these patients.The present review focuses on the controversy over definition,prevalence and detection of secondary hypertension,to provide updated concise information on the understanding of the challenges in this field.

关 键 词：继发性高血压 定义 筛查 争议 

分 类 号：R54[医药卫生—心血管疾病]