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醛固酮-肾素比值在原发性醛固酮增多症筛查中有用吗?

[Is the aldosterone-renin ratio useful in screening for primary aldosteronism?].

作者信息

Kreze A, Okálová D, Hrnclar J

机构信息

Interna klinika N.F.D. Roosevelta, Banská Bystrica.

出版信息

Vnitr Lek. 1996 Sep;42(9):649-51.

PMID:8984776
Abstract

Despite improving laboratory and imaging methods the diagnosis of primary aldosteronism still remains a problem. One of the reasons is inadequate sensitivity of classical screening of this secondary arterial hypertension by hypokalemia. In the submitted paper the authors review data from the literature on more sensitive screening by means of the aldosterone-renin ratio. Its inclusion among basic examinations in patients with arterial hypertension seems fully justified.

摘要

尽管实验室检查和影像学方法不断改进,但原发性醛固酮增多症的诊断仍然是个问题。原因之一是通过低钾血症对这种继发性动脉高血压进行经典筛查的敏感性不足。在提交的论文中,作者回顾了文献中关于通过醛固酮-肾素比值进行更敏感筛查的数据。将其纳入动脉高血压患者的基础检查似乎完全合理。

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