Wang Wei-Ting, Wu Tsung-Hui, Er Leay-Kiaw, Huang Chien-Wei, Tu Kun-Hua, Fan Kang-Chih, Tsai Cheng-Hsuan, Wang Shu-Yi, Wu Chun-Yi, Huang Shu-Heng, Liu Han-Wen, Tseng Fen-Yu, Wu Wan-Chen, Chang Chin-Chen, Cheng Hao-Min, Lin Liang-Yu, Chueh Jeff S, Lin Yen-Hung, Hwu Chii-Min, Wu Vin-Cent
Division of Cardiology, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
Hypertens Res. 2024 May;47(5):1103-1119. doi: 10.1038/s41440-023-01538-x. Epub 2024 Jan 16.
This comprehensive review offers a thorough exploration of recent advancements in our understanding of the intricate cardiovascular complications associated with Primary Aldosteronism (PA). PA encompasses a spectrum of conditions characterized by hypertension and excessive production of aldosterone operating independently of the renin-angiotensin system. Given its association with an elevated risk of cardiovascular and cerebrovascular complications, as well as a higher incidence of metabolic syndrome in comparison to individuals with essential hypertension (EH), an accurate diagnosis of PA is of paramount importance. This review delves into the intricate interplay between PA and cardiovascular health and focuses on the key pathophysiological mechanisms contributing to adverse cardiac outcomes. The impact of different treatment modalities on cardiovascular health is also examined, offering insights into potential therapeutic approaches. By highlighting the significance of recognizing PA as a significant contributor to cardiovascular morbidity, this review emphasizes the need for improved screening, early diagnosis, and tailored management strategies to both enhance patient care and mitigate the burden of cardiovascular diseases. The findings presented herein underscore the growing importance of PA in the context of cardiovascular medicine and emphasize the potential for translating these insights into targeted interventions to improve patient outcomes.
这篇综述全面探讨了我们对原发性醛固酮增多症(PA)相关复杂心血管并发症的最新认识进展。PA涵盖一系列以高血压和独立于肾素 - 血管紧张素系统的醛固酮过度分泌为特征的病症。鉴于其与心血管和脑血管并发症风险升高相关,以及与原发性高血压(EH)患者相比代谢综合征发病率更高,准确诊断PA至关重要。本综述深入研究了PA与心血管健康之间的复杂相互作用,并聚焦于导致不良心脏结局的关键病理生理机制。还考察了不同治疗方式对心血管健康的影响,为潜在治疗方法提供见解。通过强调认识到PA是心血管发病的重要因素的重要性,本综述强调需要改进筛查、早期诊断和针对性管理策略,以提高患者护理水平并减轻心血管疾病负担。本文呈现的研究结果强调了PA在心血管医学背景下的重要性日益增加,并强调了将这些见解转化为针对性干预措施以改善患者结局的潜力。