title: Is primary hyperaldosteronism a risk factor for aortic dissection?
abstract: Primary hyperaldosteronism is a rare (<1%) and underdiagnosed cause of secondary hypertension. We present a case of aortic dissection in a patient with primary hyperaldosteronism. To our knowledge, there are six other reported cases of aortic dissection in patients with primary hyperaldosteronism. Our case strengthens the hypothesis that primary hyperaldosteronism is a potential independent risk factor for aortic dissection.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, University of South Alabama, Mobile, AL 36617, USA. hahmed@usouthal.edu
authors.forename: S Hinan
authors.initials: SH
authors.lastname: Ahmed
authors.forename: Nadeem M
authors.initials: NM
authors.lastname: Husain
authors.forename: Shazib N
authors.initials: SN
authors.lastname: Khawaja
authors.forename: Clara V
authors.initials: CV
authors.lastname: Massey
authors.forename: Frank S
authors.initials: FS
authors.lastname: Pettyjohn
mesh_terms: D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis*; D000959:Antihypertensive Agents / Q000627:therapeutic use; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000175:diagnosis*; D001027:Aortography; D006328:Cardiac Catheterization; D017548:Echocardiography, Transesophageal; D005500:Follow-Up Studies; D006801:Humans; D006929:Hyperaldosteronism / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006973:Hypertension / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D033162:Incidental Findings; D008297:Male; D008875:Middle Aged; D018570:Risk Assessment; D012720:Severity of Illness Index; D013148:Spironolactone / Q000627:therapeutic use
chemical_list: D000959:Antihypertensive Agents; D013148:Spironolactone