Evidence map›Paper›PMID 27211205›Full record

ArticleSingapore medical journal2016

Secondary hypertension in adults.

Troy Hai Kiat Puar, Yingjuan Mok, Roy Debajyoti, Joan Khoo, Choon How How, Alvin Kok Heong Ng

Open access · diamondAbstract read
In one paragraph

Article in Singapore medical journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 62 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Pheochromocytoma: An Incidental Finding in an Asymptomatic Older Adult With Renal Oncocytoma.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2021
    Article
  7. Secondary hypertension: An update on the diagnosis and localisation of a pheochromocytoma or paraganglioma.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2021
    Article
  8. Article
  9. Observational
  10. Article
  11. Review
  12. Case Report: Segmental Arterial Mediolysis, a Rare Cause of Hypertension.Canadian journal of kidney health and disease · 2020
    Article
  13. Molecular Mechanisms of Primary Aldosteronism.Endocrinology and metabolism (Seoul, Korea) · 2019
    Review
  14. Review
  15. Hypotensive Snake Venom Components-A Mini-Review.Molecules (Basel, Switzerland) · 2019
    Review
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Troy Hai Kiat PuarDepartment of Endocrinology, Changi General Hospital, Singapore.
Yingjuan MokDepartment of Respiratory and Critical Care Medicine, Changi General Hospital, Singapore.
Roy DebajyotiDepartment of Renal Medicine, Changi General Hospital, Singapore.
Joan KhooDepartment of Endocrinology, Changi General Hospital, Singapore.
Choon How HowCare and Health Integration, Changi General Hospital, Singapore.
Alvin Kok Heong NgDepartment of Renal Medicine, Changi General Hospital, Singapore.
Changi General Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Secondary hypertension occurs in a significant proportion of adult patients (~10%). In young patients, renal causes (glomerulonephritis) and coarctation of the aorta should be considered. In older patients, primary aldosteronism, obstructive sleep apnoea and renal artery stenosis are more prevalent than previously thought. Primary aldosteronism can be screened by taking morning aldosterone and renin levels, and should be considered in patients with severe, resistant or hypokalaemia-associated hypertension. Symptoms of obstructive sleep apnoea should be sought. Worsening of renal function after starting an angiotensin-converting enzyme inhibitor suggests the possibility of renal artery stenosis. Recognition, diagnosis and treatment of secondary causes of hypertension lead to good clinical outcomes and the possible reversal of end-organ damage, in addition to blood pressure control. As most patients with hypertension are managed at the primary care level, it is important for primary care physicians to recognise these conditions and refer patients appropriately.

Indexed as

AldosteroneAngiotensin-Converting Enzyme InhibitorsAortic CoarctationBlood PressureGlomerulonephritisHumansHyperaldosteronismHypertensionPrimary Health CareReferral and ConsultationRenal Artery ObstructionReninSleep Apnea, ObstructiveAldosteroneAngiotensin-Converting Enzyme InhibitorsReninobstructive sleep apneaprimary aldosteronismrenal artery stenosissecondary hypertension

Identifiers

PMID27211205
PMCPMC4876411
OpenAlexW2381413656

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.