ACTH following overnight dexamethasone suppression can be used in the verification of autonomous cortisol secretion in patients with adrenal incidentalomas.

Shobitha Vollmer Albin KjellbomOla LindgrenMagnus Löndahl Henrik Olsen

Published in: Clinical endocrinology (2020)

ACTHONDST and ACTH ratio can be markers of HPA axis suppression in the investigation of adrenal incidentalomas. CortisolONDST ≥50 nmol/L with ACTHONDST <0.6 pmol/L or ACTH ratio <18% should lead to the suspicion of ACS.

Keyphrases

acute coronary syndrome
low dose
high dose