Secondary hypertension

Patient : I went to the doctor for hypertension (max value 170/110) and heart symptoms (palpitations) that started suddenly less than one year ago. The cardiologist sent me to an endocrinologist since I am 31 and no signs of malignant hypertension to explain the sudden onset. My blood tests came back with mixed results. First blood test: normal adrenal secretions, ACTH high but within normal, double amount of parathormon (which came back normal on re-test), very slightly elevated calcium, normal K and Na, cortisol almost double than normal. Second blood test (done within a month): normal estrogen, normal calcium (but close to the first test), normal parathormon, normal aldosteron, high renin (61.5 from maximum 41). I noticed that my hands swell a lot and it looks to me that I retain a lot of water, which increases my bp. My bp is zigzagging for a month, so it doesn't look like it's controlled with verapamil. It started decreasing after 3-4 days since I started taking indapamid, but it's not well controlled because it goes lower than my normal if I don't pay attention (my normal up to one year ago was 120/80) The pattern is that my bp goes up at the same time as my pulse (analysis done for a month, after starting medication, with 3-4 measurements per day). My endocrinologist said it's difficult to make a diagnostic with only renin increase because of the normal (normal to the upper part of the interval) aldosterone. I'm not sure what to do next.
Symptoms:  Hypertension 170/110, palpitations, water retention, high renin with normal aldosterone
Doctor :   This question is currently in queue and will be answered shortly by one of our doctors. In the meantime you may browse our library of answered questions by clicking here.

Related Q&A

Q: Hi...I amm 37 male...was detected with Vitamin D Deficiency Level is only 8.....Doc gave me DV 60k once a week for tw...

Q: I need my MRI results to be looked at, do i have MS is it possible?

Q: My wife is 52 and generally healthy. She recently became confused at a Walmart and could not figure out how to get to...

Q: Hyperextended my knee two days ago and have been in pain. Knee locked up on me last night when trying to stand up fro...

Q: I have idiopathic cranial hypertension and I have a trip planned for Cusco and Machu Picchu. Is it dangerous to go to...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon