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Hypertension in selected rheumatic diseases
 
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Online publication date: 2012-11-06
 
 
Reumatologia 2012;50(5):425-431
 
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ABSTRACT
Hypertension is a serious health problem both in Poland and worldwide. About 10% of high blood pressure cases are secondary hypertension and they include those caused by rheumatic diseases. Renal and blood vessel damage play the main role in its pathogenesis, leading to increase of blood volume, secretion of vasoactive factors and increase of vessel resistance (Fig. 1). Therefore hypertension is very frequent in patients with systemic lupus erythematosus, vasculitis and systemic sclerosis. Hypertension is also present in a significant number of patients with gout. It is important to remember that some drugs that are in wide use in rheumatology may increase blood pressure or interfere with hypotensive treatment. Due to the serious complications of hypertension it is necessary to aim for early diagnosis of hypertension and its effective treatment (Table I).
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