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Identification and differentiation of surgically correctable hypertension due to primary aldosteronism

Identifieur interne : 002F68 ( Istex/Curation ); précédent : 002F67; suivant : 002F69

Identification and differentiation of surgically correctable hypertension due to primary aldosteronism

Auteurs : Steven M. Herf [États-Unis] ; David C. Teates [États-Unis] ; Charles J. Tegtmeyer [États-Unis] ; E. Darrocott Vaughan Jr. [États-Unis] ; Carlos R. Ayers [États-Unis] ; Robert M. Carey [États-Unis]

Source :

RBID : ISTEX:7803185CDC82615FCF5382C5EFB2297A257AD662

Abstract

During a protocol study for the evaluation of patients with primary aldosteronism, a variety of diagnostic studies were employed in an attempt to identify patients with primary aldosteronism and to differentiate patients with adrenal adenoma from patients with idiopathic adrenal hyperplasia. In this study, we are able to demonstrate the utility of (1) absent postural increase in plasma aldosterone concentration, (2) adrenal scanning and (3) normalization of blood pressure with spironolactone therapy in identifying patients with primary aldosterone excess who have an adrenal adenoma, surgical removal of which results in eliminating their hypertension.

Url:
DOI: 10.1016/0002-9343(79)90785-X

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ISTEX:7803185CDC82615FCF5382C5EFB2297A257AD662

Le document en format XML

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