Drug-Induced Hypertension

被引:23
|
作者
Foy, Matthew C. [1 ]
Vaishnav, Joban [2 ]
Sperati, Christopher John [3 ]
机构
[1] Louisiana State Univ, Hlth Sci Ctr, Div Nephrol, 5246 Brittany Dr, Baton Rouge, LA 70808 USA
[2] Johns Hopkins Univ, Sch Med, Div Cardiol, 600 N Wolfe St, Baltimore, MD 21287 USA
[3] Johns Hopkins Univ, Sch Med, Div Nephrol, 1830 East Monument St,Room 416, Baltimore, MD 21287 USA
关键词
Drug-induced hypertension; Secondary hypertension; Polypharmacy; ENDOTHELIAL GROWTH-FACTOR; KIDNEY-TRANSPLANT RECIPIENTS; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; ANGIOTENSIN SYSTEM BLOCKADE; BLOOD-PRESSURE; NITRIC-OXIDE; ARTERIAL-HYPERTENSION; ORAL-CONTRACEPTIVES; RENAL-FUNCTION; ERYTHROPOIETIN;
D O I
10.1016/j.ecl.2019.08.013
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Untoward side effects of pharmaceuticals can result in considerable morbidity and expense to the health care system. There is likely a sizable fraction of the hypertensive population with disease either induced or exacerbated by polypharmacy. The elevation of blood pressure in drug-induced hypertension occurs through a variety of mechanisms, most notably, sodium and fluid retention, activation of the renin-angiotensin-aldosterone system, alteration of vascular tone, or a combination of these pathways. Recognition of common medications causing drug-induced hypertension is important to effectively control blood pressure. The epidemiology, pathophysiology, and management of these agents are discussed.
引用
收藏
页码:859 / +
页数:16
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