Adrenal hyperplasia with high blood pressure symptoms

The main cause of elevated blood pressure due to adrenal hyperplasia is abnormal hormone secretion, especially excessive cortisol and aldosterone. Treatment requires medication, surgery, and lifestyle adjustments. The specific methods include the use of antihypertensive drugs, hormone inhibitors, and if necessary, adrenalectomy surgery, combined with a low salt diet and moderate exercise.

1. Causes of elevated blood pressure caused by adrenal hyperplasia

Adrenal hyperplasia is usually divided into primary and secondary types. Primary adrenal hyperplasia is often related to genetic factors, such as familial aldosteronism; Secondary effects may be caused by long-term stress, chronic diseases, or medication use. Hypertrophic adrenal tissue will over secrete cortisol and aldosterone, leading to sodium and water retention in the body, increased blood volume, and then lead to hypertension. Adrenal tumors may also lead to abnormal hormone secretion, further exacerbating elevated blood pressure.

2. Drug therapy methods

Drug therapy is an important means of controlling adrenal hyperplasia induced hypertension. Common drugs include:

aldosterone receptor antagonists, such as spironolactone, which can inhibit the action of aldosterone and reduce sodium water retention. Cortisol synthesis inhibitors, such as metoprolol, can lower cortisol levels and alleviate elevated blood pressure.

Antihypertensive drugs: such as calcium channel blocker amlodipine or ACE inhibitor enalapril, help control blood pressure.

3. Surgical treatment selection

Surgery is an effective choice for patients with poor drug control or adrenal tumors. Common surgical methods include laparoscopic adrenalectomy (SEP): minimally invasive, fast recovery, suitable for most patients with adrenal hyperplasia.

Open adrenalectomy: suitable for cases with large or complex tumors.

Radiofrequency ablation: destroys proliferative tissue through thermal energy, suitable for patients who cannot tolerate surgery.

4. Lifestyle Adjustment

Changes in lifestyle are crucial for controlling blood pressure. Suggestion:

Low salt diet: Control daily salt intake below 5 grams to reduce the impact of sodium on blood pressure. Moderate exercise, such as brisk walking, swimming, or yoga, for at least 150 minutes per week, can help lower blood pressure.

Stress management: Relieve stress and reduce hormonal imbalances through meditation, deep breathing, or psychological counseling. Adrenal hyperplasia induced hypertension requires comprehensive treatment, with medication and surgery being the main methods, but lifestyle adjustments cannot be ignored. Regular monitoring of blood pressure and hormone levels, timely seeking medical attention and adjusting treatment plans are key to controlling the condition. Through scientific management and healthy living, patients can effectively lower their blood pressure and improve their quality of life.