Beware of endocrine hypertension

  Nowadays, the prevalence of hypertension is increasing year by year. We usually classify hypertension into primary and secondary hypertension. Among them, endocrine hypertension is the main type of secondary hypertension. The so-called endocrine hypertension is caused by the inappropriate secretion of too many hormones that can cause blood pressure to rise, such as renin, angiotensin, aldosterone, catecholamines, growth hormone, glucocorticoids and so on. The following is a brief introduction to several common diseases of endocrine hypertension.  1, primary aldosteronism: due to adrenal cortical aldosterone tumor or hyperplasia caused by increased release of aldosterone leads to hypertension, 50% of patients can be accompanied by hypokalemia. The latest data found that in the hypertensive population, primary aldosterone patients can account for 10-15%.  2, pheochromocytoma: due to adrenal medullary tumor or extra-adrenal tissue secretion of large amounts of catecholamines lead to increased blood pressure, hypertension is characterized by sudden, rapid increase in blood pressure, accompanied by headache, palpitations, sweating symptoms.  3, Cushing syndrome: due to adrenal or pituitary tumors or hyperplasia, secretion of large amounts of glucocorticoids leads to increased blood pressure. Patients are often accompanied by symptoms such as centripetal obesity, weakness, low resistance and polycystic ovaries.  4, acromegaly: due to pituitary tumors secrete a lot of growth hormone resulting in increased blood pressure, such patients are mostly accompanied by symptoms such as hands and feet significantly larger than normal and ugly face.  For endocrine hypertension, as long as it is found in time and the cause is removed as soon as possible, the hypertension can be well controlled. Therefore, patients with hypertension should be alerted to endocrine hypertension if the following factors are present, and promptly seek medical consultation for systematic examination.  1. Young age at the onset of hypertension, less than 40 years old, or even less than 30 years old.  2, accompanied by the above-mentioned special manifestations of endocrine hypertension, such as hypokalemia, sudden hypertension, obesity and limb hypertrophy, etc.  3, Early history of cardiovascular disease. (Less than 45 years old) 4. Conventional hypotension is not effective.  Secondary hypertension is different from primary hypertension and is curable. The key is to consult a doctor as soon as possible, as soon as possible to remove the cause of the disease