继发性高血压筛查的意义及诊断策略.ppt

1、二级高血压诊断和筛查策略，什么是高血压，2013 ESH/Esc guidelines for the management of arterial hyperension the task force for the management of arterial hyperension 2013 ESH/Esc guidelines for the management of arterial hyperension the task force for the management of arterial hyperension of the European software 365 (

2、9455) :17-23，高血压人口状况，中国，中国，高血压人群，kearney pm，whelton m，reynoldds k，muntner p，whelton PK365 (9455) :17-23，第二次高血压筛查历史，第二次高血压筛查现状，the prevenance of secondary forms of hyperension was 10.2%，including Reno，The effect of age on prealence of secondary forms of hyperension in 4429 consecutive referred patien

3、ts Anderson，Gunnar h.jr布莱克曼，南希；Streeten，David H.P，次高血压筛查现状，次高血压发病率10.2%，肾血管性高血压3.1%，1.4%，原发性醛固酮增多症1.4%，库欣综合征0.5%，嗜铬细胞瘤0.3%结论：随着年龄的增加，动脉硬化与继发性高血压的发生率有明显的关系。二次高血压筛查的意义，二次高血压诊断的意义，是将不治之症变成可治疗的疾病。即使潜在的疾病可能无法治疗，某些治疗方法也能更好地控制血压，而潜在的疾病通常会导致比血压升高更严重的后果，需要治疗。一般内分泌高血压，Prospecive study on The prevention of sec

4、ondary hyperensive patients visiiting a general outpatient clinic in Japan masao oothe present study offers preliminary evidence that it may be a useful screening test for PHA。PAC/PRC的比例比PAC/PRA的检查方法更有效、更实用，目前的研究提供了可以用作有效检查工具的初步证据。Rapid screening test for primary hyperaldossteronism : ratio of plasm

5、a aldo sterone to renin concentration determined by fully ally 第一临床机构对原醛的普遍筛查高级医疗机构对原甾醇的疗效确认及对AARR检测的单抗高血压药对AARR筛查率影响的研究方法一致性Cut-off未达到互换性，PA检查率差异很大的ARR和AARR的差异，AARR-aldo sterone active renin ratio aldosteron 使用plasma aldo sterone concentration(PAC)的recent stuies To pra as the screening test for pri

6、mary aldosteron dism in hyperensive population -prealence Of primary aldosteron dism amount Asian hyperensive patients in Singapore keh-chuan Loh，evelyns.koay，min-cheh Mini review : primary aldosteronismchanging concepts in diagnsis and treatment William f . young，fessor of medicine Consultant

7、，division of endocrinology，metabolism，nutrition and internal medicine，mayo clinic and mayo foundation，zolo salt loading test is a reasononably good alternative to the more expeensive and complex FST for the diagnsis of pa after a positive screening test . j CLL and mauro MAC cario，常规辅助筛选手段筛选，CT成像限制，

8、CT扫描，Therefore cleally localizes adenomas in 50% of histological ly proven cases 像非功能亢进的肿瘤一样，醛固酮分泌腺瘤APA和双侧肾上腺增生BAH，以磁共振成像显示细胞内脂质的移动图像。，role for adrenal venous sampling in primary aldosteronism William f . young，Jr，MD，Anthony W. stason，MD，Geoffrey B136336901227-35。CT检查单独使用，约21.7%的患者意外取消了肾上腺切除术，24.7%接受了不必要或不适当的肾上腺切除术。肾上腺静脉采血国内