Kounatiadis P, Petroglou D, Kolettas V, Karvounis H
1st Department of Cardiology of Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Greece.
Hippokratia. 2014 Apr;18(2):180-2.
Primary Aldosteronism is the commonest cause of secondary arterial hypertension and is due to uncontrollable aldosterone secretion by a series of adrenal disorders.
We describe a case of a 71-year-old female patient with uncontrollable hypertensive peaks in soils of pre-existing arterial hypertension, who was diagnosed with Primary Aldosteronism.
Both late onset of the disease and bilateral presence of adrenal nodes are rarely described in the literature and selection of treatment mainly depends on adrenal vein catheterization.
原发性醛固酮增多症是继发性动脉高血压最常见的病因,由一系列肾上腺疾病导致醛固酮分泌不受控制引起。
我们描述了一名71岁女性患者的病例,该患者在原有动脉高血压的基础上出现难以控制的高血压峰值,被诊断为原发性醛固酮增多症。
该疾病的迟发性和肾上腺结节的双侧性在文献中鲜有描述,治疗方案的选择主要取决于肾上腺静脉插管检查。