DMCS Gino Patrassi-Clinica Medica 4, University of Padua, Padua, Italy.
Rev Endocr Metab Disord. 2011 Mar;12(1):27-36. doi: 10.1007/s11154-011-9162-8.
Primary aldosteronism involves more than 11% of hypertensive patients who are referred to specialized centers for the diagnosis and treatment of hypertension. If not diagnosed early it causes an excess damage to the heart, vessels and kidney, which translates into an cardiovascular events. Since these ominous consequences can be corrected with a timely diagnosis and an appropriate therapy, physicians should exercise a high degree of alert concerning the possibility that primary aldosteronism is present in hypertensive patients. The purpose of this review is to provide up-dated information on the strategy for case detection, the subtype differentiation and the management of primary aldosteronism.
原发性醛固酮增多症涉及到超过 11%的高血压患者，他们被转介到专门的中心进行高血压的诊断和治疗。如果早期没有得到诊断，它会导致心脏、血管和肾脏的过度损伤，进而导致心血管事件。由于这些严重后果可以通过及时诊断和适当的治疗来纠正，因此医生应该高度警惕高血压患者中是否存在原发性醛固酮增多症。本文旨在提供关于原发性醛固酮增多症病例检测策略、亚型分化和治疗的最新信息。
