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What is Endocrine Hypertension?
High blood pressure (hypertension) is a very common condition and is often linked to endocrine conditions. Most commonly this is linked to the metabolic syndrome and type 2 diabetes and is then called primary or essential hypertension. Our specialists will assess your cardiovascular risk factors as part of your assessment.
It is now recognised that in as many as 5-10% of people suffering with high blood pressure, an adrenal condition called primary hyperaldosteronism may have a role. This condition can be difficult to correctly diagnose and treat and it requires the experience of an expert multidisciplinary team that is provided by the team at One Welbeck.
It is important to consider this condition if any of the following apply (Endocrine Society guidelines):
- Moderate/severe hypertension (BP >150/100mmHg on three separate occasions)
- Resistant hypertension (BP >140/90mmHg on three antihypertensive medications and anyone on four or more antihypertensives)
- Low potassium (even if on medications)
- Hypertension and an adrenal nodule
- Hypertension and Obstructive sleep apnoea
- Hypertension and a family history of early onset hypertension or stroke (<40 years)
- All those with hypertension and a first degree relative with primary hyperaldosteronism
There are also rarer endocrine conditions that cause high blood pressure which will also be considered and excluded where necessary (e.g. acromegaly, Cushing’s syndrome, phaeochromocytoma).
Treatment for Endocrine Hypertension
As it is now recognised that many cases of hypertension are linked to the metabolic syndrome and diabetes and a further 5-10% of all cases of hypertension may be related to a more specific underlying endocrine condition, diagnosing endocrine hypertension is more important than ever as it can lead to targeted treatment and in some cases a complete cure. The treatment will depend on the exact cause which will be identified by thorough investigation.