• J Formos Med Assoc · Jul 2024

    Review

    Evaluations of secondary hypertension and laboratory data in the elderly population.

    • Zheng-Wei Chen, Chieh-Kai Chan, Chia-Hung Lin, Chien-Feng Lee, Hao-Yun Lo, Yung-Cheng Huang, Chih-Fan Yeh, Michael Yu-Chih Chen, Tai-Hsuan Lai, Kuo-Chin Huang, Vin-Cent Wu, Wen-Jone Chen, and Yen-Hung Lin.
    • Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan; Department of Internal Medicine, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan; Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
    • J Formos Med Assoc. 2024 Jul 18.

    AbstractSecondary hypertension in the elderly poses many challenges and requires a comprehensive diagnostic and management approach. This review explores the prevalence, diagnostic strategies, and treatment modalities for secondary hypertension in elderly patients, focusing on etiologies including primary aldosteronism, renal vascular disease, renal parenchymal disease, obstructive sleep apnea, thyroid disorders, Cushing's syndrome, pheochromocytomas and paragangliomas, and drug-induced hypertension. Key considerations include age-related changes in physiology and atypical presentations of underlying conditions necessitating thorough screening with a combination of clinical evaluation, laboratory tests, and imaging studies. Collaboration among healthcare providers is essential to ensure a timely diagnosis and personalized management tailored to the unique needs of elderly patients. Further research is needed to address knowledge gaps and optimize clinical strategies for managing secondary hypertension in this population.Copyright © 2024 Formosan Medical Association. Published by Elsevier B.V. All rights reserved.

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