Paul Saladino· MD
secondary hypertension is different I'm not really talking about secondary hypertension this podcast but many people do suffer with secondary hypertension the numbers are much much lower than primary hypertension and the causes of secondary hypertension are things like kidney inflammation at the level of the glomerulus the filtering apparatus called acute glomerulonephritis chronic renal disease which is chronic kidney disease polycystic kidney disease renal artery stenosis if the arteries that Supply the kidneys or leave from the kidneys become stenotic that is narrowed that can cause hypertension inflammation in the arteries supplying the kidneys renal vasculitis can produce hypertension renin producing tumors which are going to activate the retina Angiotensin aldosterone axis something that I'll talk about later in this podcast or aldosterone producing tumors can also do this so then there are endocrine causes of secondary hypertension adrenocortical hyperfunction Cushing syndrome primary aldosteronism that is a tumor producing aldosterone which is also part of the renin Angiotensin aldosterone axis congenital adrenal hyperplasia exogenous hormones glucocorticoids or estrogens birth control can definitely do this fiochromocytoma which is the tumor that everyone loves to think about in medical schools the the prime zebra but it's very rare acromegaly which is related to excess production of growth hormone hypo or hyperthyroidism these have to be very severe abnormalities in the thyroid or pregnancy can also change blood pressure