BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的主要危险因素
  • 高血压的发病年龄低于 30 岁
  • 高血压的发病年龄超过 55 岁
  • 急进性、恶性或难治性高血压病史

其他诊断因素

  • 无高血压家族史
  • 其他杂音
  • 血管紧张素转换酶抑制剂或血管紧张素 II 受体拮抗剂给药后发生的急性肾损伤病史
  • 不明原因的充血性心力衰竭病史

危险因素

  • 血脂异常
  • 吸烟
  • 糖尿病
  • 女性

诊断性检查

首要检查

  • 血清肌酐
  • 血清钾
  • 尿液分析和沉积物评估
  • 醛固酮与肾素比值
全部具体信息

需要考虑的检查

  • 多普勒超声
  • 钆增强磁共振血管造影
  • CT 血管造影术
  • 卡托普利放射核素肾扫描
全部具体信息

治疗流程

贡献者

Clinical Instructor of Medicine

Tulane University Heart and Vascular Institute

Tulane University School of Medicine

New Orleans

LA

利益冲突披露
MS declares that he has no competing interests.

Assistant Professor of Medicine

Tulane University Heart and Vascular Institute

Tulane University School of Medicine

New Orleans

LA

利益冲突披露
AA is supported in part by the National Institute of General Medical Sciences of the National Institutes of Health, which funds the Louisiana Clinical and Translational Science Center.

MS and AA would like to gratefully acknowledge Dr Scott J. Gilbert, a previous contributor to this monograph. SJG declares that he has no competing interests.

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Associate Professor

Department of Family Medicine

University of Texas Health Science Center

Tyler

TX

利益冲突披露
RT declares that he has no competing interests.

Assistant Professor

Chicago Medical School

Rosalind Franklin University

Lombard

IL

利益冲突披露
IM declares that he has no competing interests.

Professor

Aberdeen Royal Infirmary

Foresterhill

Scotland

利益冲突披露
JW declares that he has no competing interests.

Grover E. Murray Professor

University Distinguished Professor

Texas Tech University Medical Center

Lubbock

TX

利益冲突披露
NAK declares that he has no competing interests.

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