Primary Aldosteronism: A Pragmatic Approach to Diagnosis and Management

Prerna Dogra; Irina Bancos; William F Young Jr

doi:10.1016/j.mayocp.2023.04.023

Primary Aldosteronism: A Pragmatic Approach to Diagnosis and Management

Mayo Clin Proc. 2023 Aug;98(8):1207-1215. doi: 10.1016/j.mayocp.2023.04.023.

Authors

Prerna Dogra¹, Irina Bancos², William F Young Jr³

Affiliations

¹ Division of Endocrinology, Diabetes, Metabolism and Nutrition, Mayo Clinic, Rochester, MN.
² Division of Endocrinology, Diabetes, Metabolism and Nutrition, Mayo Clinic, Rochester, MN; Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
³ Division of Endocrinology, Diabetes, Metabolism and Nutrition, Mayo Clinic, Rochester, MN. Electronic address: young.william@mayo.edu.

PMID: 37536806
DOI: 10.1016/j.mayocp.2023.04.023

Abstract

Primary aldosteronism is a prevalent but underdiagnosed cause of hypertension, contributing to increased cardiovascular and cerebrovascular events and end-organ damage independent of blood pressure. Prompt diagnosis and treatment with targeted surgical or medical therapy reduce the risk of complications and improve prognosis. This review outlines a practical approach to diagnosis and management of primary aldosteronism for global practitioners.

Publication types

Review

MeSH terms

Blood Pressure
Cardiovascular Diseases* / etiology
Heart
Humans
Hyperaldosteronism* / complications
Hyperaldosteronism* / diagnosis
Hyperaldosteronism* / therapy
Hypertension* / diagnosis
Hypertension* / etiology
Hypertension* / therapy