Diagnosis and management of primary aldosteronism

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Primary aldosteronism (PA), the most common form of secondary hypertension, can either be surgically cured or treated with targeted pharmacotherapy. If left untreated, PA has associated cardiovascular morbidity and nephrotoxicity. Thus, clinicians should consider PA in all patients with hypertension and perform case detection testing in those who are at high risk for PA. Confirmatory testing is indicated in most patients who have positive case detection testing. The next step is to determine if patients with confirmed PA have disease that can be cured with surgery or if it should be treated medically—this step is guided by CT scan of the adrenal glands and adrenal vein sampling.

Original languageEnglish (US)
Title of host publicationContemporary Endocrinology
PublisherHumana Press Inc.
Pages245-260
Number of pages16
DOIs
StatePublished - Jan 1 2018

Publication series

NameContemporary Endocrinology
ISSN (Print)2523-3785
ISSN (Electronic)2523-3793

Keywords

  • Adrenal vein sampling
  • Aldosterone
  • Hypertension
  • Hypokalemia

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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  • Cite this

    Young, W. F. (2018). Diagnosis and management of primary aldosteronism. In Contemporary Endocrinology (pp. 245-260). (Contemporary Endocrinology). Humana Press Inc.. https://doi.org/10.1007/978-3-319-62470-9_11