Secondary Arterial Hypertension: Uncertainties in Diagnosis
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007 |
Resumo: | Arterial hypertension is regarded today as a global public health problem, and the prevalence rate in Portugal is 26.9%. According to the etiology, is classified into primary or secondary arterial hypertension. In about 90% of cases it is not possible to establish a cause, so is called primary arterial hypertension. In the remaining 5 to 10%, it can be identified secondary causes, which are potentially treatable. For secondary arterial hypertension study to be cost-effective, it is essential to understand which patients investigate, and evaluate the best strategy to adopt. The main causes identified as responsible for secondary arterial hypertension are: kidney disease; endocrine and vascular diseases and obstructive sleep apnea. Among these some are consensual, and others more controversial in the literature. In this regard we present two cases of arterial hypertension, which are potentially secondary in etiology, but still focus of debate. |
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Secondary Arterial Hypertension: Uncertainties in DiagnosisHipertensão Arterial Sistémica Secundária: Incertezas do DiagnósticoBlood PressureHypertension/diagnosisKidney DiseasesCysticRenal Artery/abnormalitieArtéria Renal/anomalias congénitasDoenças Renais QuísticasHipertensão/diagnósticoPressão SanguíneaArterial hypertension is regarded today as a global public health problem, and the prevalence rate in Portugal is 26.9%. According to the etiology, is classified into primary or secondary arterial hypertension. In about 90% of cases it is not possible to establish a cause, so is called primary arterial hypertension. In the remaining 5 to 10%, it can be identified secondary causes, which are potentially treatable. For secondary arterial hypertension study to be cost-effective, it is essential to understand which patients investigate, and evaluate the best strategy to adopt. The main causes identified as responsible for secondary arterial hypertension are: kidney disease; endocrine and vascular diseases and obstructive sleep apnea. Among these some are consensual, and others more controversial in the literature. In this regard we present two cases of arterial hypertension, which are potentially secondary in etiology, but still focus of debate.A hipertensão arterial sistémica configura-se hoje como um problema de saúde pública mundial, sendo a taxa de prevalência em Portugal de 26,9%. De acordo com a sua etiologia classifica-se em hipertensão arterial sistémica primária ou secundária. Em cerca de 90% dos casos, não é possível estabelecer uma causa e por isso a hipertensão arterial sistémica denomina-se primária. Nos restantes 5% a 10%, pode ser identificada uma causa secundária, potencialmente tratável. Para que o estudo da hipertensão arterial sistémica secundária seja custo-eficaz, torna-se essencial perceber quais os doentes a investigar, com que meios, e qual a melhor estratégia a adotar. As principais causas apontadas como responsáveis pela hipertensão arterial sistémica secundária são: patologia renal; endócrina; vascular e síndrome da apneia obstrutiva do sono. Entre estas, algumas são consensuais e outras mais controversas na literatura. A este propósito apresentamos dois casos de hipertensão arterial sistémica, cuja etiologia potencialmente secundária ainda é foco de debate.Ordem dos Médicos2017-06-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/mswordimage/pngimage/jpegimage/jpegapplication/pdfapplication/mswordimage/pnghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007oai:ojs.www.actamedicaportuguesa.com:article/8007Acta Médica Portuguesa; Vol. 30 No. 6 (2017): June; 493-496Acta Médica Portuguesa; Vol. 30 N.º 6 (2017): Junho; 493-4961646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007/5079https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007/8576https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007/8577https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007/8578https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007/8579https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007/8623https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007/8816https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007/9078Direitos de Autor (c) 2017 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessDinis, Paulo GomesCachulo, Maria CarmoFernandes, AndreiaPaiva, LuisGonçalves, Lino2022-12-20T11:05:23Zoai:ojs.www.actamedicaportuguesa.com:article/8007Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:31.830249Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Secondary Arterial Hypertension: Uncertainties in Diagnosis Hipertensão Arterial Sistémica Secundária: Incertezas do Diagnóstico |
title |
Secondary Arterial Hypertension: Uncertainties in Diagnosis |
spellingShingle |
Secondary Arterial Hypertension: Uncertainties in Diagnosis Dinis, Paulo Gomes Blood Pressure Hypertension/diagnosis Kidney Diseases Cystic Renal Artery/abnormalitie Artéria Renal/anomalias congénitas Doenças Renais Quísticas Hipertensão/diagnóstico Pressão Sanguínea |
title_short |
Secondary Arterial Hypertension: Uncertainties in Diagnosis |
title_full |
Secondary Arterial Hypertension: Uncertainties in Diagnosis |
title_fullStr |
Secondary Arterial Hypertension: Uncertainties in Diagnosis |
title_full_unstemmed |
Secondary Arterial Hypertension: Uncertainties in Diagnosis |
title_sort |
Secondary Arterial Hypertension: Uncertainties in Diagnosis |
author |
Dinis, Paulo Gomes |
author_facet |
Dinis, Paulo Gomes Cachulo, Maria Carmo Fernandes, Andreia Paiva, Luis Gonçalves, Lino |
author_role |
author |
author2 |
Cachulo, Maria Carmo Fernandes, Andreia Paiva, Luis Gonçalves, Lino |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Dinis, Paulo Gomes Cachulo, Maria Carmo Fernandes, Andreia Paiva, Luis Gonçalves, Lino |
dc.subject.por.fl_str_mv |
Blood Pressure Hypertension/diagnosis Kidney Diseases Cystic Renal Artery/abnormalitie Artéria Renal/anomalias congénitas Doenças Renais Quísticas Hipertensão/diagnóstico Pressão Sanguínea |
topic |
Blood Pressure Hypertension/diagnosis Kidney Diseases Cystic Renal Artery/abnormalitie Artéria Renal/anomalias congénitas Doenças Renais Quísticas Hipertensão/diagnóstico Pressão Sanguínea |
description |
Arterial hypertension is regarded today as a global public health problem, and the prevalence rate in Portugal is 26.9%. According to the etiology, is classified into primary or secondary arterial hypertension. In about 90% of cases it is not possible to establish a cause, so is called primary arterial hypertension. In the remaining 5 to 10%, it can be identified secondary causes, which are potentially treatable. For secondary arterial hypertension study to be cost-effective, it is essential to understand which patients investigate, and evaluate the best strategy to adopt. The main causes identified as responsible for secondary arterial hypertension are: kidney disease; endocrine and vascular diseases and obstructive sleep apnea. Among these some are consensual, and others more controversial in the literature. In this regard we present two cases of arterial hypertension, which are potentially secondary in etiology, but still focus of debate. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-06-30 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007 oai:ojs.www.actamedicaportuguesa.com:article/8007 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007/5079 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007/8576 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007/8577 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007/8578 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007/8579 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007/8623 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007/8816 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8007/9078 |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 30 No. 6 (2017): June; 493-496 Acta Médica Portuguesa; Vol. 30 N.º 6 (2017): Junho; 493-496 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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