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2018 ; 19
(2
): 272-283
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Multimodality Imaging in Patients with Secondary Hypertension: With a Focus on
Appropriate Imaging Approaches Depending on the Etiologies
#MMPMID29520185
Ahn H
; Chun EJ
; Lee HJ
; Hwang SI
; Choi DJ
; Chae IH
; Lee KW
Korean J Radiol
2018[Mar]; 19
(2
): 272-283
PMID29520185
show ga
Although the causes of hypertension are usually unknown, about 10% of the cases
occur secondary to specific etiologies, which are often treatable. Common
categories of secondary hypertension include renal parenchymal disease,
renovascular stenosis, vascular and endocrinologic disorders. For diseases
involving the renal parenchyma and adrenal glands, ultrasonography (US), computed
tomography (CT) or magnetic resonance (MR) imaging is recommended. For
renovascular stenosis and vascular disorders, Doppler US, conventional or
noninvasive (CT or MR) angiography is an appropriate modality. Nuclear imaging
can be useful in the differential diagnosis of endocrine causes. Radiologists
should understand the role of each imaging modality and its typical findings in
various causes of secondary hypertension. This article focuses on appropriate
imaging approaches in accordance with the categorized etiologies leading to
hypertension.