Hypertension and Hyperthyroidism: Association and Pathogenesis

Ana M. Rivas, Camilo Pena, Jonathan Kopel, Jeff A. Dennis, Kenneth Nugent

Research output: Contribution to journalReview articlepeer-review

Abstract

Hypertension can cause significant morbidity and reduced life expectancy. Most patients with hypertension have primary hypertension; however, 10 to 15% of patients have secondary hypertension. Endocrine disorders explain approximately 10% of hypertension in all patients, and thyroid disorders account for approximately 1% of cases with hypertension. Hyperthyroidism can cause increased cardiac output, increased systolic blood pressures, and increased levels of renin, angiotensin, and aldosterone. Treatment of hyperthyroidism can cure hypertension in some patients. Consequently, identification of patients with secondary hypertension potentially has important benefits, and understanding secondary hypertension provides a framework for investigating the pathophysiology of hypertension. Clinicians should consider the possibility of hyperthyroidism in patients with hypertension, even in those of more advanced age.

Original languageEnglish
Pages (from-to)3-7
Number of pages5
JournalAmerican Journal of the Medical Sciences
Volume361
Issue number1
DOIs
StatePublished - Jan 2021

Keywords

  • Epidemiology
  • Hypertension
  • Hyperthyroidism
  • Pathophysiology
  • Risk factors

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