How common is primary aldosteronism?
| Autor: | Alexander A. Leung, Gregory L. Hundemer, Gregory A. Kline |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Population 030232 urology & nephrology Secondary hypertension Disease 030204 cardiovascular system & hematology Essential hypertension Prehypertension 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Primary aldosteronism Both adrenal glands Hyperaldosteronism Renin Internal Medicine Medicine Humans Intensive care medicine education Aldosterone education.field_of_study business.industry medicine.disease chemistry Nephrology Hypertension business |
| Zdroj: | Current opinion in nephrology and hypertension. 30(3) |
| ISSN: | 1473-6543 |
| Popis: | Purpose of review Primary aldosteronism, characterized by renin-independent aldosterone secretion from one or both adrenal glands, is the most common and modifiable form of secondary hypertension. The prevalence of primary aldosteronism is increasingly recognized to be much higher than previously thought with many cases still undetected. Recent findings Prior prevalence studies on primary aldosteronism have reported a wide range of estimates due to heterogeneity of both disease definitions and study populations such that it is difficult to claim a single point estimate. More recent evidence demonstrates that primary aldosteronism, as defined by conventional biochemical diagnostic criteria, is highly prevalent within populations where it is not typically considered such as mild-to-moderate hypertension, prehypertension, and even normotension. Yet, our current screening approach fails to capture many cases. Furthermore, there is mounting evidence that renin-independent aldosteronism exists as a continuum of disease that extends below the current biochemical diagnostic thresholds used to define primary aldosteronsim and has clinically relevant treatment and outcome implications for a much broader patient population. Indeed, much of what we current label as 'essential hypertension' is, in fact, renin-independent aldosterone-mediated hypertension. Summary Primary aldosteronism and milder forms of renin-independent aldosteronism are highly prevalent, yet vastly under-recognized, in the general population. |
| Databáze: | OpenAIRE |
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