ĐẶC ĐIỂM TĂNG HUYẾT ÁP Ở NGƯỜI BỆNH CÓ U THƯỢNG THẬN TẠI BỆNH VIỆN BẠCH MAI

Abstract

Objectives: Characteristics of hypertension and assessment of blood pressure changes after adrenalectomy in patients with adrenal tumors at Bach Mai hospital. Subjects and Methods: The study included 98 patients diagnosed with adrenal tumors at bach mai hospital between August 2024 and April 2025. Results: Hypertension was observed in 87.8% of patients, with 43% requiring ≥3 classes of antihypertensive medications and 26.7% having developed cardiovascular or renal complications. The mean duration of hypertension was 5.96 ± 5.68 years, with the longest duration found in patients with Conn's syndrome. Following surgery, 80.8% of patients reduced the number of antihypertensive drug classes used, and 61.8% achieved hypertension remission. In the Conn’s syndrome group, 49.2% of patients were diagnosed at a late stage; this group had worse renal function, a higher prevalence of cardiovascular comorbidities, required more antihypertensive drug classes, and had a lower post-operative cure rate compared to others (32.1% vs. 77.8%; p = 0.001). Conclusion: Hypertension in patients with adrenal tumors, particularly in Conn's syndrome, is often prolonged and difficult to control. Delayed diagnosis remains common and significantly impacts treatment outcomes. Screening for secondary causes should be emphasized to improve long-term prognosis.