[Surgical treatment for primary aldosteronism].
Valentine Luzuy-GuarneroPatricia MehierGrégoire WuerznerMaurice MatterTobias ZinggPublished in: Revue medicale suisse (2024)
Primary aldosteronism is the most common cause of secondary hypertension in the middle-aged population. A high level of suspicion is required, due to the higher morbidity and mortality associated with damage to target organs (heart, brain, vessels, kidneys) than with essential hypertension. Screening involves 3 phases: detection, confirmation and detection of lateralization if surgery is an option. The choice of treatment will depend on the cause and the patient's wishes and may be either medical (mineralocorticoid receptor antagonists) or surgical (unilateral adrenalectomy). Both treatment options reduce the risk of cardiovascular morbidity and mortality if blood pressure is well controlled.
Keyphrases
- blood pressure
- middle aged
- hypertensive patients
- loop mediated isothermal amplification
- heart rate
- minimally invasive
- real time pcr
- label free
- healthcare
- heart failure
- case report
- oxidative stress
- white matter
- resting state
- type diabetes
- decision making
- blood brain barrier
- metabolic syndrome
- surgical site infection
- percutaneous coronary intervention
- brain injury
- arterial hypertension