Evaluation and Management of Primary Hyperaldosteronism
| Autor: | Dina M. Elaraj, Frances T. Lee |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Aldosterone Adenoma business.industry Disease Management Adrenalectomy 030230 surgery Hyperplasia medicine.disease Hyperaldosteronism Diagnosis Differential 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine chemistry 030220 oncology & carcinogenesis Internal medicine medicine Adrenal vein sampling Humans Surgery Subtype classification business Tomography X-Ray Computed |
| Zdroj: | The Surgical clinics of North America. 99(4) |
| ISSN: | 1558-3171 |
| Popis: | Primary hyperaldosteronism is an important and increasingly prevalent cause of hypertension that is characterized by unregulated aldosterone excess. More than 90% of primary hyperaldosteronism cases are attributable to either idiopathic adrenal hyperplasia or aldosterone-producing adenomas. The approach to the diagnosis of primary hyperaldosteronism should be step-wise, starting with screening of at-risk populations, confirmatory testing for positively screened patients, and subtype classification in order to direct surgical or medical management. Based on current guidelines, subtype classification of primary hyperaldosteronism should be determined with both imaging and adrenal vein sampling (AVS), reserving deferment of AVS for a selective subset of patients. |
| Databáze: | OpenAIRE |
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