Overview
High blood pressure (hypertension) in young adults and children is unusual and often points to a "secondary" cause, frequently endocrine-related. We specialize in finding and treating these root causes.
Signs to Watch For
- Often asymptomatic
- Frequent headaches
- Shortness of breath
- Nosebleeds
- Palpitations
Causes
Endocrine causes include primary aldosteronism, pheochromocytoma (adrenal tumors), Cushing's syndrome, and thyroid disorders. Renal issues can also be a cause.
Diagnosis
Extensive evaluation including ambulatory blood pressure monitoring, specific hormonal blood and urine tests, and imaging of the adrenal glands or kidneys.
Treatment Options
Treatment is highly targeted; if an endocrine cause is found, treating it can often cure the hypertension completely.
- Specific medications that target hormonal pathways
- Surgical referral for adrenal tumors
- Lifestyle modifications
- Long-term cardiovascular risk management
frequently asked questions
Young people with hypertension often have an underlying hormonal or kidney issue rather than the typical lifestyle-related hypertension seen in older adults. Endocrine evaluation is crucial.
Yes, in many cases, such as removing a benign adrenal tumor, the hypertension can be completely cured without the need for lifelong medication.