Prevalence, pathogenesis, and functional significance of aldosterone deficiency in hyperkalemic patients with chronic renal insufficiency.

Abstract:

:Our findings indicate that hypoaldosteronism occurs commonly (23/31 patients) in hyperkalemic patients with chronic renal insufficiency and that the deficiency of aldosterone contributes to the pathogenesis of the hyperkalemia. In most patients (83%), hypoaldosteronism could be accounted for by deficient renal secretion of renin, but in some patients (17%) overt renin deficiency did not appear to be present, and therefore other (unidentified) causes of aldosterone deficiency must be invoked. The results also indicate that the urinary excretion rate of aldosterone secretion rate in this group of patients.

journal_name

Kidney Int

journal_title

Kidney international

authors

Schambelan M,Sebastian A,Biglieri EG

doi

10.1038/ki.1980.11

subject

Has Abstract

pub_date

1980-01-01 00:00:00

pages

89-101

issue

1

eissn

0085-2538

issn

1523-1755

pii

S0085-2538(15)32214-6

journal_volume

17

pub_type

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