• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

重复采样在原发性醛固酮增多症肾上腺静脉采样双侧醛固酮抑制中的效用

Utility of Repeat Sampling in Bilateral Aldosterone Suppression During Adrenal Vein Sampling for Primary Aldosteronism.

作者信息

Halim Bella, Yong Eric X Z, Egan Matthew, MacIsaac Richard J, O'Neal David, Sachithanandan Nirupa

机构信息

Department of Endocrinology & Diabetes, St Vincent's Hospital Melbourne, Fitzroy, Victoria 3065, Australia.

Department of Medicine, The University of Melbourne, Fitzroy, Victoria 3065, Australia.

出版信息

JCEM Case Rep. 2024 Apr 10;2(4):luae051. doi: 10.1210/jcemcr/luae051. eCollection 2024 Apr.

DOI:10.1210/jcemcr/luae051
PMID:38601064
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11005832/
Abstract

Primary aldosteronism (PA) is the most common form of secondary hypertension. Accurate subtyping of PA is essential to identify unilateral disease, as adrenalectomy improves outcomes. Subtyping PA requires adrenal vein sampling (AVS), which is technically challenging and results from AVS may not always be conclusive. We present a case of a 37-year-old man with PA whose AVS studies were inconclusive due to apparent bilateral aldosterone suppression (ABAS). As a result, our patient was misdiagnosed as having bilateral PA and medically managed until a repeat AVS showed lateralization to the right adrenal gland. ABAS is an underrecognized phenomenon that may confound the subtyping of PA. We recommend repeating AVS in such cases and discuss strategies to minimize ABAS.

摘要

原发性醛固酮增多症（PA）是继发性高血压最常见的形式。准确对PA进行亚型分类对于识别单侧疾病至关重要，因为肾上腺切除术可改善治疗效果。对PA进行亚型分类需要肾上腺静脉采血（AVS），这在技术上具有挑战性，且AVS的结果可能并不总是具有决定性意义。我们报告一例37岁患有PA的男性病例，其AVS检查结果不明确，原因是出现了明显的双侧醛固酮抑制（ABAS）。结果，我们的患者被误诊为双侧PA并接受药物治疗，直到再次进行AVS检查显示右侧肾上腺有侧化表现。ABAS是一种未被充分认识的现象，可能会混淆PA的亚型分类。我们建议在这种情况下重复进行AVS检查，并讨论将ABAS降至最低的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f6a/11005832/a26c2212ea1b/luae051f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f6a/11005832/7c39b14c4932/luae051f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f6a/11005832/9009d850c2b5/luae051f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f6a/11005832/03200c06161c/luae051f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f6a/11005832/69840698f5a3/luae051f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f6a/11005832/91e00fb43571/luae051f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f6a/11005832/a26c2212ea1b/luae051f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f6a/11005832/7c39b14c4932/luae051f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f6a/11005832/9009d850c2b5/luae051f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f6a/11005832/03200c06161c/luae051f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f6a/11005832/69840698f5a3/luae051f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f6a/11005832/91e00fb43571/luae051f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f6a/11005832/a26c2212ea1b/luae051f6.jpg

相似文献

1
Utility of Repeat Sampling in Bilateral Aldosterone Suppression During Adrenal Vein Sampling for Primary Aldosteronism.重复采样在原发性醛固酮增多症肾上腺静脉采样双侧醛固酮抑制中的效用
JCEM Case Rep. 2024 Apr 10;2(4):luae051. doi: 10.1210/jcemcr/luae051. eCollection 2024 Apr.
2
Duplicated adrenal veins in primary aldosteronism misdiagnosed with ectopic aldosteronoma due to apparent bilateral aldosterone suppression.原发性醛固酮增多症中因双侧醛固酮明显抑制而误诊为异位醛固酮瘤的重复肾上腺静脉。
Blood Press. 2023 Dec;32(1):2209664. doi: 10.1080/08037051.2023.2209664.
3
"Double-Down" Adrenal Vein Sampling Results in Patients with Apparent Bilateral Aldosterone Suppression: Utility of Repeat Sampling including Super-Selective Sampling.在双侧醛固酮抑制表现明显的患者中，“加倍”肾上腺静脉采样结果：包括超选择性采样在内的重复采样的效用。
J Vasc Interv Radiol. 2021 May;32(5):656-665. doi: 10.1016/j.jvir.2020.12.029. Epub 2021 Mar 27.
4
The Occurrence of Apparent Bilateral Aldosterone Suppression in Adrenal Vein Sampling for Primary Aldosteronism.原发性醛固酮增多症肾上腺静脉采血中出现的双侧醛固酮明显抑制现象。
J Endocr Soc. 2018 Mar 22;2(5):398-407. doi: 10.1210/js.2017-00481. eCollection 2018 May 1.
5
Segmental Adrenal Venous Sampling in Unilateral Primary Aldosteronism With Apparent Bilateral Aldosterone Suppression.单侧原发性醛固酮增多症伴明显双侧醛固酮抑制时的节段性肾上腺静脉采血
JCEM Case Rep. 2024 Sep 16;2(9):luae164. doi: 10.1210/jcemcr/luae164. eCollection 2024 Sep.
6
Diagnostic consistency between computed tomography and adrenal vein sampling of primary aldosteronism: leading to successful curative outcome after adrenalectomy; a retrospective study.原发性醛固酮增多症的 CT 与肾上腺静脉取样诊断一致性：导致肾上腺切除术的成功治愈结果；一项回顾性研究。
Int J Surg. 2024 Feb 1;110(2):839-846. doi: 10.1097/JS9.0000000000000850.
7
Discordance between imaging and immunohistochemistry in unilateral primary aldosteronism.单侧醛固酮增多症中影像学与免疫组化的不相符性。
Clin Endocrinol (Oxf). 2017 Dec;87(6):665-672. doi: 10.1111/cen.13442. Epub 2017 Sep 4.
8
Multifocal, Asymmetric Bilateral Primary Aldosteronism Cannot be Excluded by Strong Adrenal Vein Sampling Lateralization: An International Retrospective Cohort Study.多灶性、非对称性双侧原发性醛固酮增多症不能通过强烈的肾上腺静脉采样偏侧化排除：一项国际回顾性队列研究。
Hypertension. 2024 Mar;81(3):604-613. doi: 10.1161/HYPERTENSIONAHA.123.21910. Epub 2024 Jan 4.
9
Use of plasma metanephrine to aid adrenal venous sampling in combined aldosterone and cortisol over-secretion.使用血浆间甲肾上腺素辅助肾上腺静脉采血诊断醛固酮和皮质醇联合分泌过多。
Endocrinol Diabetes Metab Case Rep. 2015;2015:150075. doi: 10.1530/EDM-15-0075. Epub 2015 Oct 13.
10
Systematic review: diagnostic procedures to differentiate unilateral from bilateral adrenal abnormality in primary aldosteronism.系统评价：原发性醛固酮增多症中鉴别单侧与双侧肾上腺异常的诊断方法
Ann Intern Med. 2009 Sep 1;151(5):329-37. doi: 10.7326/0003-4819-151-5-200909010-00007.

引用本文的文献

1
Segmental Adrenal Venous Sampling in Unilateral Primary Aldosteronism With Apparent Bilateral Aldosterone Suppression.单侧原发性醛固酮增多症伴明显双侧醛固酮抑制时的节段性肾上腺静脉采血
JCEM Case Rep. 2024 Sep 16;2(9):luae164. doi: 10.1210/jcemcr/luae164. eCollection 2024 Sep.

本文引用的文献

1
Unilaterally Successful Adrenal Vein Sampling: Use or Repeat?单侧成功的肾上腺静脉采血：使用还是重复？
Hypertension. 2023 Oct;80(10):2014-2016. doi: 10.1161/HYPERTENSIONAHA.123.21563. Epub 2023 Sep 20.
2
Duplicated adrenal veins in primary aldosteronism misdiagnosed with ectopic aldosteronoma due to apparent bilateral aldosterone suppression.原发性醛固酮增多症中因双侧醛固酮明显抑制而误诊为异位醛固酮瘤的重复肾上腺静脉。
Blood Press. 2023 Dec;32(1):2209664. doi: 10.1080/08037051.2023.2209664.
3
Diagnosis and treatment of primary aldosteronism.
原发性醛固酮增多症的诊断与治疗。
Lancet Diabetes Endocrinol. 2021 Dec;9(12):876-892. doi: 10.1016/S2213-8587(21)00210-2.
4
Improvement in quality of life and psychological symptoms after treatment for primary aldosteronism: Asian Cohort Study.原发性醛固酮增多症治疗后生活质量和心理症状的改善：亚洲队列研究
Endocr Connect. 2021 Jul 26;10(8):834-844. doi: 10.1530/EC-21-0125.
5
Composite Cardiovascular Outcomes in Patients With Primary Aldosteronism Undergoing Medical Versus Surgical Treatment: A Meta-Analysis.原发性醛固酮增多症患者接受药物与手术治疗的复合心血管结局：一项荟萃分析。
Front Endocrinol (Lausanne). 2021 May 17;12:644260. doi: 10.3389/fendo.2021.644260. eCollection 2021.
6
Adrenal vein sampling: technique and protocol, a systematic review.肾上腺静脉采血：技术与方案，一项系统评价
CVIR Endovasc. 2021 Apr 1;4(1):38. doi: 10.1186/s42155-021-00220-y.
7
"Double-Down" Adrenal Vein Sampling Results in Patients with Apparent Bilateral Aldosterone Suppression: Utility of Repeat Sampling including Super-Selective Sampling.在双侧醛固酮抑制表现明显的患者中，“加倍”肾上腺静脉采样结果：包括超选择性采样在内的重复采样的效用。
J Vasc Interv Radiol. 2021 May;32(5):656-665. doi: 10.1016/j.jvir.2020.12.029. Epub 2021 Mar 27.
8
Bilateral Aldosterone Suppression in Patients With Right Unilateral Primary Aldosteronism and Review of the Literature.右侧单侧原发性醛固酮增多症患者的双侧醛固酮抑制及文献综述
J Endocr Soc. 2020 Mar 12;4(4):bvaa033. doi: 10.1210/jendso/bvaa033. eCollection 2020 Apr 1.
9
Subtyping of Primary Aldosteronism in the AVIS-2 Study: Assessment of Selectivity and Lateralization.在 AVIS-2 研究中对原发性醛固酮增多症进行亚型分类：选择性和侧位评估。
J Clin Endocrinol Metab. 2020 Jun 1;105(6). doi: 10.1210/clinem/dgz017.
10
Diagnosis and treatment of primary aldosteronism: practical clinical perspectives.原发性醛固酮增多症的诊断与治疗：实用临床观点。
J Intern Med. 2019 Feb;285(2):126-148. doi: 10.1111/joim.12831. Epub 2018 Sep 25.