Can adrenal diseases cause high blood pressure? Why

Adrenal diseases can indeed cause elevated blood pressure, mainly due to abnormal secretion of adrenal hormones leading to vasoconstriction and increased blood volume. Treatment requires intervention through medication, surgery, or lifestyle adjustments based on the specific type of disease.

1. The mechanism of hypertension caused by adrenal diseases

The adrenal gland is an important endocrine organ in the human body, responsible for secreting various hormones, including aldosterone, cortisol, and adrenaline. When adrenal gland function is abnormal, the secretion of these hormones may be imbalanced, leading to an increase in blood pressure. Too much aldosterone will cause sodium water retention and increase blood volume; Excessive cortisol can enhance the sensitivity of blood vessels to angiotensin; Excessive secretion of adrenaline directly leads to vasoconstriction. The abnormal effects of these hormones collectively lead to an increase in blood pressure.

2. Common types of adrenal diseases and their effects

Primary aldosteronism is the most common cause of adrenal hypertension, characterized by hypertension accompanied by hypokalemia. Cushing's syndrome is caused by excessive secretion of cortisol, accompanied by central obesity and abnormal glucose metabolism in addition to hypertension. pheochromocytoma is caused by excessive secretion of adrenaline and norepinephrine, leading to paroxysmal hypertension and palpitations. These diseases can all cause stubborn hypertension and increase the risk of cardiovascular and cerebrovascular diseases.

3. Diagnosis and Treatment Methods

For suspected adrenal hypertension, clear diagnosis such as blood hormone testing and imaging examinations is required. The treatment methods vary depending on the type of disease: primary aldosteronism can be treated with aldosterone antagonists such as spironolactone; Cushing's syndrome may require surgical removal of adrenal or pituitary tumors; Surgery is the preferred treatment for pheochromocytoma, and alpha blockers should be used to control blood pressure before surgery. At the same time, patients should pay attention to a low salt diet, control their weight, avoid vigorous exercise and mental stress.

4. Prevention and Daily Management

Preventing adrenal diseases requires attention to early symptoms, such as persistent hypertension, hypokalemia, and central obesity. Regular physical examinations can help detect abnormalities early. After diagnosis, medication should be taken regularly according to medical advice, and hormone levels and blood pressure should be checked regularly. Maintaining a healthy lifestyle, such as a balanced diet, moderate exercise, and ensuring adequate sleep, can all help control the condition. Hypertension caused by adrenal diseases is a secondary hypertension. Timely diagnosis and standardized treatment can effectively control blood pressure and reduce the risk of complications. Patients should actively cooperate with treatment and pay attention to lifestyle adjustments to maintain overall health.