Secondary Hypertension: Clinical Presentation, Diagnosis, And Treatment (clinical Hypertension And Vascular Diseases)

Secondary forms of hypertension are not uncommon in clinical prac­ tice, but they are often overlooked or forgotten by clinicians in many fields of medicine. Dr. George Mansoor' s volume on Secondary Hyper­ tension is an important contribution to the field of clinical hypertension and vascular diseases, since it brings up to date the numerous diagnostic and therapeutic advances in the evaluation for secondary types of hyper­ tension. In the past, textbooks usually stated that an etiology could be determined in less than 5% of patients presenting with newly diagnosed hypertension. We now know this is far too low a proportion (e.g., pri­ mary hyperaldosteronism alone may account for hypertension in 5% of patients presenting with chronic elevations in blood pressure). Secondary Hypertension has been thoughtfully organized into chap­ ters evaluating screening and diagnosis, as well as medical and/or sur­ gical intervention of the well-known etiologies of secondary hypertension in adults and children. Additional coverage is given to such exogenous or lesser appreciated causes of secondary hypertension as obstructive sleep apnea and drugs. These sections make this book novel because in the past little attention has been paid to the effects of noncar­ diac drugs that interfere with antihypertensive therapy or to exogenous substances that might induce refractory hypertension.

Twenty-six international specialists present the most current knowledge on the essential clinical, diagnostic, and treatment aspects of secondary hypertension. The text treats in detail the forms likely to be considered in persons with suggestive clinical features or resistant hypertension. Each chapter gives a concise approach to its topic and therefore can be read on its own by those seeking an up-to-date, scientifically accurate review of a particular area. Following two chapters discussing refractory hypertension and the exogenous causes of hypertension, 15 contributions are organized into sections on renal disease, the adrenal cortex, the adrenal medulla, pediatric issues, and sleep apnea. Annotation ©2004 Book News, Inc., Portland, OR

Doody Review Services

Reviewer:Jason A. Mitchell, MD(Ochsner Clinic Foundation)
Description:This is a comprehensive collection of chapters on secondary causes of hypertension, whose authors are leaders in their respective fields. It encompasses medical, interventional, and surgical treatments for the diseases. It is a unique book in that much of this information is usually discussed in separate specialized books (endocrinology, nephrology, and pulmonary) but now can be gleaned from a single source.
Purpose:The editor's purpose in collecting these chapters is to encompass the totality of secondary causes of hypertension in terms of presentation, diagnosis, and treatment. These worthy objectives are met.
Audience:The book is written for practitioners who see patients with difficult to control hypertension. This includes primary care physicians, internists, endocrinologists, nephrologists, cardiologists and others. In my opinion, it will also be useful to physicians in training who see patients with difficult to control hypertension. The editor has collected many authors who are recognized authorities in their respective fields.
Features:The book covers renovascular, endocrine, and pulmonary causes of secondary hypertension and its treatments. It is well written and easy to read with an exhaustive index. The book provides historical and contemporary information on each subject. A unique aspect of this book is the attention given to surgical therapy using excellent figures.
Assessment:This is an excellent book for several reasons. First, it is compact and readable, with up-to-date information from several medical specialties, obviating the need for multiple larger books to gather this information. Second, it offers a comprehensive literature review providing a historical perspective in each subject area. Finally, the infrastructure of the book (tables, figures, index) is clear and complete.

The Authors Critically Evaluate And Summarize The Latest Ideas About The Screening, Diagnosis, And Medical/surgical Treatment Of Secondary Hypertension In Adults And Children. Drawing On A Variety Of Medical Disciplines--including Nephrology, Endocrinology, Internal Medicine, And Pediatrics--the Book's Authors Review The Critical Scenarios That Should Prompt A Search For Secondary Forms Of Hypertension And Discuss Appropriate Testing For These Uncommon Disorders. Additional Coverage Is Given To Exogenous Or Such Less-appreciated Causes Of Secondary Hypertension As Obstructive Sleep Apnea, Primary Aldosteronism, Renovascular Hypertension, And The Effects Of Noncardiac Drugs. Refractory Hypertension / George A. Mansoor -- Iatrogenic And Drug-induced Hypertension / Ehud Grossman And Franz H. Messerli -- Hypertension In Chronic Kidney Disease / Robert D. Toto -- Diagnostic Evaluation For Patients With Renovascular Hypertension / Sumeska Thavarajah And William B. White -- Interventional Treatments For Renal Artery Stenosis / George A. Mansoor -- Medical Management Of Renovascular Hypertension / Vincent J. Canzanello -- Primary Reninism Or Renin-secreting Tumors / Timothy L. Reudelhuber -- Primary Aldosteronism / William F. Young, Jr. Medical Management Of Primary Aldosteronism / Emmanuel L. Bravo -- Primary Aldosteronism / Mihir M. Desai And Inderbir S. Gill -- Nonprimary Aldosteronism / William T. Kendrick, Jean-michel Archard, And David G. Warnock -- Hypertension In Cushing's Syndrome / Judy A. Whitworth, George J. Mangos, And John J. Kelly -- Biochemical Diagnosis And Localization Of Pheochromocytoma / Emmanuel L. Bravo -- Pheochromocytoma Treatment / Carl D. Malchoff, Dougald Macgillvray, And Steven Shichman -- New Insights Into Pseudopheochromocytoma And Emotionally Provoked Hypertension / Otto Kuchel. Secondary Hypertension In Children And Adolescents / Empar Lurbe And Joseph Redon -- Sleep Apnea And Hypertension / Thomas G. Pickering And Mona Yacoub. Edited By George A. Mansoor. Includes Bibliographical References And Index. Our knowledge of secondary hypertension has grown significantly in recent years with the introduction of new diagnostic tools, biochemical tests, and drugs. In Secondary Hypertension: Clinical Presentation, Diagnosis, and Treatment, world-renowned researchers and clinicians critically evaluate and summarize the latest ideas about the screening, diagnosis, and medical/surgical treatment of secondary hypertension in adults and children. Drawing on a variety of medical disciplines-including nephrology, endocrinology, internal medicine, and pediatrics-the book's authors review the critical scenarios that should prompt a search for secondary forms of hypertension and discuss appropriate testing for these uncommon disorders. Additional coverage is given to exogenous or such less-appreciated causes of secondary hypertension as obstructive sleep apnea, primary aldosteronism, renovascular hypertension, and the effects of noncardiac drugs. Comprehensive and up-to-date, Secondary Hypertension: Clinical Presentation, Diagnosis, and Treatment is an indispensable guide for physicians seeking the special knowledge and expertise needed to diagnose and treat the many varieties of secondary hypertension in adults and children.

This indispensable guide critically evaluates for hypertension specialists both established and new techniques for diagnosing and treating secondary hypertension in adults and children. Drawing on a variety of medical disciplines-including nephrology, endocrinology, internal medicine, and pediatrics-its world-renowned authors review the critical scenarios that should prompt a search for secondary forms of hypertension, and detail appropriate testing for these uncommon disorders. Additional coverage is given to exogenous or such less-appreciated causes of secondary hypertension as obstructive sleep apnea, primary aldosteronism, renovascular hypertension, and the effects of noncardiac drugs.

The terms refractory hypertension or drug-resistant hypertension have become entrenched in clinical medicine and are used interchangeably in this chapter.