Table of Contents Author Guidelines Submit a Manuscript
International Journal of Endocrinology
Volume 2011, Article ID 309068, 6 pages
http://dx.doi.org/10.1155/2011/309068
Clinical Study

Improvement of Hypertension after Parathyroidectomy of Patients Suffering from Primary Hyperparathyroidism

1Third Department of Medicine, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
2Third Department of Surgery, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
3Department of Nuclear Medicine, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic

Received 29 September 2010; Revised 19 December 2010; Accepted 4 January 2011

Academic Editor: Daniela Jezova

Copyright © 2011 P. D. Broulik et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Primary hyperparathyroidism (PHPT) is one of the most common endocrine conditions and is accompanied by hypertension and increased cardiovascular mortality. The purpose of this study was to evaluate the effect of parathyroidectomy on systolic and diastolic blood pressure (BP) in hypertensive patients with PHPT and whether hypertension occurs more frequently in PHPT than in control group. Methods. A total of 1020 patients with proved PHPT who underwent surgery were compared with with 1020 age, sex, BMI, and smoking status matched controls. We evaluated changes in serum calcium, parathyroid hormone (PTH), uric acid, and BP before and 6 months after surgery. Results. Parathyroidectomy corrected PHPT and resulted in a substantial fall in both mean systolic ( to  mmHg) and mean diastolic pressures ( to  mmHg) of the hypertensive subjects; . In these patients, PTH, calcium, and uric acid normalized. 726 patients from 1020 with PHPT ( ) were found to be hypertensive whilst only 489 ( ) from 1020 of our control group. Conclusion. Parathyroidectomy in hypertensive patients reduces systolic and diastolic BP. PHPT is accompanied by a variety of metabolic complications, which are a risk factor for hypertension, and parathyroidectomy can improve these metabolic complications.