Recent management of surgically correctable hypertension

Abstract

Abstract Background Surgical hypertension is elevated blood pressure that results from an underlying, identifiable, often correctable cause. Obstructive sleep Apnea, Aldosteronism, presence of renal artery Bruits (suggesting renal artery stenosis), renal parenchymal disease (Bad kidneys), excess Catecholamines, Coarctation of the aorta, Cushing's syndrome, Drugs, Diet, polycythemia, and some neuroendocrine tumors. Objective To assess, through the available literature. The role of surgery in the management of endocrine, renal and vascular causes of hypertension and outcome benefits of surgery. Data Sources Medline databases (PubMed, Medscape, Science Direct. EMF-Portal) and all materials available in the Internet till 2018. Data Extraction If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, appropriate controls, and adequate information and defined assessment measures. Conclusion Secondary hypertension may be due to underlying correctable cause. Diagnosis and surgical correction of the underlying cause may improve hypertension and improve life quality of the patient especially in young patients resistant to medical therapy for hypertension.