Primary Hyperaldosteronism: Approach to Diagnosis and Management

Med Clin North Am. 2021 Nov;105(6):1065-1080. doi: 10.1016/j.mcna.2021.06.007. Epub 2021 Sep 9.ABSTRACTHyperaldosteronism is a relatively more common disorder than previously recognized. Patients with hyperaldosteronism are at high risk for cardiovascular events. Patients suspected of having hyperaldosteronism should undergo initial screening and subsequent confirmatory testing to establish a biochemical diagnosis. Although adrenal computed tomography/magnetic resonance imaging scans often define a disease's subtype, adrenal vein sampling, in order to determine lateralization, may be necessary in some patients who are surgical candidates. Medical therapy using optimal doses of mineralocorticoid receptor antagonists can control symptoms and normalize plasma renin activity. The long-term outcome of patients treated with either surgical or optimal medical therapy appears similar.PMID:34688415 | DOI:10.1016/j.mcna.2021.06.007

Source: The Medical Clinics of North America - October 24, 2021 Category: General Medicine Authors: Nadine El-Asmar Aman Rajpal Baha M Arafah Source Type: research