[Primary hyperaldosteronism in hypertension].
Recent data suggest that primary aldosteronism is found in about 10% of hypertensive patients managed in primary care and diagnosed in about 20% of treated but uncontrolled hypertensive patients. Cardiovascular complications appear to be more frequent among patients with primary hyperaldosteronism than hypertensive patients with a comparable blood pressure. The diagnosis of hyperaldosteronism relies mainly on the exploration of the renin-aldosterone system with the measurements of plasma renin activity and plasma and urinary aldosterone levels, and on radiological investigations. Today, the investigation of a secondary hypertension suspecting primary aldosteronism could be started by performing a scanner and then measuring hormonal parameters.
Service d'endocrinologie métabolisme, Unite de prevention cardiovasculaire, Groupe hospitalier Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75651 Paris 13, France.
Xavier
X
Girerd
D000450:Aldosterone / Q000097:blood; D006801:Humans; D006929:Hyperaldosteronism / Q000150:complications*; D006973:Hypertension / Q000209:etiology*; D012083:Renin / Q000097:blood
D000450:Aldosterone; D012083:Renin
Hypertension artérielle par hyperaldostéronisme primaire.