Evaluation of Secondary Hypertension | Harvard Medical School Continuing Education

Why is understanding secondary hypertension important? What underlying medical conditions, medications, or substances cause secondary hypertension? How do you evaluate patients for secondary hypertension?

Dr. Michael Honigberg, MD, a cardiologist at Massachusetts General Hospital, explains how recognizing causes of and contributors to secondary hypertension is helpful for comprehensively evaluating and managing patients. Common medications that can raise blood pressure are identified as are other common causes of secondary hypertension. Diagnostic tests and tools are reviewed and appropriate management for secondary hypertension is identified depending on its cause.

00:00 | Introduction
00:33 | Distinguishing between primary and secondary hypertension
01:41 | Medication classes that can raise blood pressure
01:41 | Common medication classes that can raise blood pressure
02:20 | Other secondary causes of hypertension
04:42 | Patient evaluation
07:09 | Management of secondary hypertension

References:
Vitarello JA, Fitzgerald CJ, Cluett JL, Juraschek SP, Anderson TS. Prevalence of Medications That May Raise Blood Pressure Among Adults With Hypertension in the United States. JAMA Intern Med. 2022;182(1):90-93. doi:10.1001/jamainternmed.2021.6819. 
Brown JM, Siddiqui M, Calhoun DA, et al. The Unrecognized Prevalence of Primary Aldosteronism: A Cross-sectional Study. Ann Intern Med. 2020;173(1):10-20. doi:10.7326/M20-0065 
Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension 2018;71(6):e136-e139. 

Notice: At this time, the content in this video is not accredited.

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Disclaimer: This content including advice provides generic information only. It is in no way a substitute for a qualified medical opinion. Always consult a specialist or your own doctor for more information.