Secondary Hypertension

Secondary Hypertension

by Amy Sussman, MD

Hypertension is often an insidious disease with dire long-term consequences. However, in some cases, particularly in cases of secondary hypertension, this insidious disease may be accelerated by a secondary underlying etiology. Often, if this is the case, it may also mean that the underlying condition is reversible, leading to improved outcomes if identified.

Most patients with hypertension have no clear etiology and are classified as having primary hypertension. However, 5%โ€“10% of these patients may have secondary hypertension. The prevalence and potential etiologies of secondary hypertension vary by age. The most common causes in children are renal parenchymal disease and coarctation of the aorta. In adults aged 65 or older, atherosclerotic renal artery stenosis, renal failure, and hypothyroidism are common causes.

Although not every patient with hypertension should undergo extensive workup for a secondary cause, any clinician should be aware of the possibility of secondary hypertension and evaluate the need for laboratory or imaging workup based on suggestive history. This history might include severe or resistant hypertension, age of onset younger than 30 years (especially before puberty), malignant or accelerated hypertension, and an acute rise in blood pressure from previously stable readings.

Course Details

  • Videos 13
  • Duration 0:54 h
  • Quiz questions 29
  • Concept Pages 8


Your Educators of course Secondary Hypertension

 Amy Sussman, MD

Amy Sussman, MD

Dr. Amy Sussman is an Associate Professor of Medicine and the Vice Chair of Education in the Department of Medicine of the University of Arizona (UA), USA.
She obtained her MD from the University of Arizona in 2001 and completed residency and a Nephrology Fellowship at the University of Washington. Dr. Sussman was recruited back to the UA in 2009 and also serves as her department's clerkship director, and as the program director of the UA Nephrology Fellowship.
Because of her strong emphasis on medical student teaching, she has been distinguished with multiple teaching awards in the UA College of Medicine.
Within Lecturio, Dr. Sussman teaches courses on Nephrology.

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in general,perfect
By dina k. on 18. March 2022 for Primary vs. Secondary Hypertension

clear easy but too fast. when i put it on 0,75 speed it was much easier to comprehend.

Like it very much
By Irfan A. on 05. April 2021 for Secondary Hypertension


I like her teaching style and the cases she used as examples. The lectures were explicit
By Ernest A. on 15. August 2020 for Secondary Hypertension

I like her teaching style and the cases she used as examples. The lectures were explicit