Primary essential hypertension is a complex cardiovascular abnormality
determined by both environmental and genetic factors. Some rare famil
ial forms of hypertension follow a simple mendelian mode of inheritanc
e, whereas essential hypertension is considered to be a polygenetic di
sease. Recent molecular genetic studies have revealed the molecular ba
sis of some of these rare monogenetic forms of hypertension, e.g. gluc
ocorticoid-remediable aldosteronism, Liddle's syndrome, or the syndrom
e of apparant mineralocorticoid excess. In contrast, essential hyperte
nsion has so far only been convincingly linked to the angiotensinogen-
gene locus.