Primary Aldosteronism: Where Are We Now? Where to From Here?


Primary aldosteronism, the most common secondary form of hypertension, is thought to be present in ≈5% to 10% of hypertensive adults. However, recent studies indicate that its prevalence may be at least 3-fold higher based on the identification of renin-independent (autonomous) aldosterone production that is not suppressible with dietary sodium loading in a large fraction of adults with primary hypertension. Currently, the screening rate for primary aldosteronism in adults with primary hypertension is <1%. This review summarizes current thinking about primary aldosteronism from the standpoint of 3 key questions: Where are we now? Where to from here? So how do we get there?

Authors: John W. Funder, Robert M. Carey
Keywords: prevalence, pathogenesis, disease management
DOI Number: 10.1161/HYPERTENSIONAHA.121.18761      Publication Year: 2022

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