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Investigation and management of young-onset hypertension: British and Irish hypertension society position statement

  • Spoorthy Kulkarni,
  • Luca Faconti,
  • Sarah Partridge,
  • Christian Delles,
  • Mark Glover,
  • Philip Lewis,
  • Asha Gray,
  • Emma Hodson,
  • Iain Macintyre,
  • Carmen Maniero,
  • Carmel M. McEniery,
  • Manish D. Sinha,
  • Stephen B. Walsh,
  • Ian B. Wilkinson

摘要

National and international hypertension guidelines recommend that adults with young-onset hypertension (aged <40 years at diagnosis) are reviewed by a hypertension specialist to exclude secondary causes of hypertension and optimise therapeutic regimens. A recent survey among UK secondary care hypertension specialist physicians highlighted variations in the investigation of such patients. In this position statement, the British and Irish Hypertension Society seek to provide clinicians with a practical approach to the investigation and management of adults with young-onset hypertension. We aim to ensure that individuals receive consistent and high-quality care across the UK and Ireland, to highlight gaps in the current evidence, and to identify important future research questions.