Subtype diagnosis, treatment, complications and outcomes of primary aldosteronism and future direction of research: a position statement and consensus of the Working Group on Endocrine Hypertension of the European Society of Hypertension.

Abstract:

:: Primary aldosteronism is a frequent cause of secondary hypertension requiring a specific pharmacological treatment with mineralocorticoid receptor antagonist or with unilateral adrenalectomy. These treatments have shown to reduce the excess of cardiovascular risk characteristically associated with this disease. In part I of this consensus, we discussed the procedures for the diagnosis of primary aldosteronism. In the present part II, we address the strategies for the differential diagnosis of primary aldosteronism subtypes and therapy. We also discuss the evaluation of outcomes and provide suggestions for follow-up as well as cardiovascular and metabolic complications specifically associated with primary aldosteronism. Finally, we analyse the principal gaps of knowledge and future challenges for research in this field.

journal_name

J Hypertens

journal_title

Journal of hypertension

authors

Mulatero P,Sechi LA,Williams TA,Lenders JWM,Reincke M,Satoh F,Januszewicz A,Naruse M,Doumas M,Veglio F,Wu VC,Widimsky J

doi

10.1097/HJH.0000000000002520

subject

Has Abstract

pub_date

2020-06-25 00:00:00

eissn

0263-6352

issn

1473-5598

pub_type

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