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Subtype diagnosis, treatment, complications and outcomes of primary aldosteronism and future direction of research: a position statement and consensus of the Working Group on Endocrine Hypertension of the European Society of Hypertension
P. Mulatero, LA. Sechi, TA. Williams, JWM. Lenders, M. Reincke, F. Satoh, A. Januszewicz, M. Naruse, M. Doumas, F. Veglio, VC. Wu, J. Widimsky
Jazyk angličtina Země Velká Británie
Typ dokumentu časopisecké články, práce podpořená grantem
- MeSH
- adrenalektomie MeSH
- antagonisté mineralokortikoidních receptorů terapeutické užití MeSH
- hyperaldosteronismus * komplikace diagnóza genetika terapie MeSH
- hypertenze etiologie MeSH
- konsensus MeSH
- lidé MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
: Primary aldosteronism is a frequent cause of secondary hypertension requiring a specific pharmacological treatment with mineralocorticoid receptor antagonist or with unilateral adrenalectomy. These treatments have shown to reduce the excess of cardiovascular risk characteristically associated with this disease. In part I of this consensus, we discussed the procedures for the diagnosis of primary aldosteronism. In the present part II, we address the strategies for the differential diagnosis of primary aldosteronism subtypes and therapy. We also discuss the evaluation of outcomes and provide suggestions for follow-up as well as cardiovascular and metabolic complications specifically associated with primary aldosteronism. Finally, we analyse the principal gaps of knowledge and future challenges for research in this field.
Department of Hypertension National Institute of Cardiology Warsaw Poland
Department of Medicine 3 University Hospital Carl Gustav Carus at the TU Dresden Dresden Germany
Hypertension Unit Internal Medicine Department of Medicine DAME University of Udine Udine Italy
Propedeutic Department of Internal Medicine Aristotle University Thessaloniki Greece
Citace poskytuje Crossref.org
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- $a Mulatero, Paolo $u Division of Internal Medicine and Hypertension Unit, Department of Medical Sciences, University of Torino, Torino
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- $a : Primary aldosteronism is a frequent cause of secondary hypertension requiring a specific pharmacological treatment with mineralocorticoid receptor antagonist or with unilateral adrenalectomy. These treatments have shown to reduce the excess of cardiovascular risk characteristically associated with this disease. In part I of this consensus, we discussed the procedures for the diagnosis of primary aldosteronism. In the present part II, we address the strategies for the differential diagnosis of primary aldosteronism subtypes and therapy. We also discuss the evaluation of outcomes and provide suggestions for follow-up as well as cardiovascular and metabolic complications specifically associated with primary aldosteronism. Finally, we analyse the principal gaps of knowledge and future challenges for research in this field.
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- $a Sechi, Leonardo A $u Hypertension Unit, Internal Medicine, Department of Medicine DAME, University of Udine, Udine, Italy
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