Primary Hyperaldosteronism Associated With Hypertensive Emergencies
| Autor: | William B. White, Paul T. Labinson, George A. Mansoor, Beatriz E. Tendler |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Emergency Medical Services medicine.medical_specialty Hypertension Renal medicine.drug_class Secondary hypertension Plasma renin activity Diagnosis Differential Primary aldosteronism Internal medicine Hyperaldosteronism Renin Internal Medicine medicine Humans Hypertensive emergency Antihypertensive drug Aldosterone Aged Mineralocorticoid Receptor Antagonists business.industry Middle Aged medicine.disease Hypokalemia Surgery Acute Disease Potassium Female Differential diagnosis medicine.symptom business |
| Zdroj: | American Journal of Hypertension. 19:623-627 |
| ISSN: | 0895-7061 |
| Popis: | There is growing awareness of primary hyperaldosteronism as a cause of secondary hypertension. Usually, it manifests as hypertension and hypokalemia, or as resistant hypertension. Much less often, primary hyperaldosteronism may be detected after a hypertensive emergency has developed. We highlight this association by reporting on eight patients with a clinical diagnosis of primary hyperaldosteronism whose course was complicated by a hypertensive crisis. In all patients, an elevated serum aldosterone, was accompanied by a suppressed plasma renin activity despite the presence of a hypertensive crisis. A good outcome was obtained either with laparoscopic adrenalectomy (1 patient) or with an antihypertensive drug regimen that included an antialdosterone agent (7 patients). The differential diagnosis of hypertensive emergencies should include primary hyperaldosteronism. |
| Databáze: | OpenAIRE |
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