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以心脏骤停为表现的原发性醛固酮增多症:一例报告

Primary Hyperaldosteronism Presenting as Cardiac Arrest: A Case Report.

作者信息

Saleem Maryam, Khan Maahin M, Iftikhar Hassaan, Arif Hamza

机构信息

Nephrology, Ohio Valley Nephrology Associates, Owensboro, USA.

Nephrology, Washington University School of Medicine, St. Louis, USA.

出版信息

Cureus. 2025 Jun 22;17(6):e86558. doi: 10.7759/cureus.86558. eCollection 2025 Jun.

Abstract

Primary hyperaldosteronism is an underdiagnosed cause of hypertension despite its increasing prevalence and strong association with cardiovascular morbidity and mortality. Early recognition is critical. Individuals with primary aldosteronism generally present with treatment-resistant hypertension and hypokalemia. Here, we present the case of a patient who experienced cardiac arrest due to severe hypokalemia and was subsequently diagnosed with primary hyperaldosteronism, confirmed through adrenal vein sampling. The condition was successfully treated with a left adrenalectomy.

摘要

原发性醛固酮增多症是高血压的一个诊断不足的病因,尽管其患病率不断上升,且与心血管发病率和死亡率密切相关。早期识别至关重要。原发性醛固酮增多症患者通常表现为顽固性高血压和低钾血症。在此,我们报告一例因严重低钾血症导致心脏骤停的患者,随后经肾上腺静脉采血确诊为原发性醛固酮增多症,并通过左侧肾上腺切除术成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ddb/12283218/002d95528afb/cureus-0017-00000086558-i01.jpg

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