Primary Hyperaldosteronism Associated With Hypertensive Emergencies

Circadian blood pressure variation in hypertensive patients with primary hyperaldosteronism.

A less-than-normal decline in nocturnal blood pressure (BP) has been associated with excessive hypertensive complications. This is concerning because secondary hypertension is often associated with this so-called nondipper BP profile. A nondipping pattern is more frequently found in the presence of pheochromocytoma, Cushing's syndrome, and sleep apnea syndrome, but the prevalence is unclear in ...

[Hypertensive emergencies].

Hypertensive urgencies are common clinical occurrences in hypertensive patients. The definition of hypertensive urgencies (target blood pression) were not consistent, but involved often target end-organ damage in emergencies. Epidemiology and physiopathology are briefly described. Treatment practices of hypertensive crisis were difficult because of the lack of evidence supporting the use of one...

Hypertensive Emergencies

a woman with normotensive primary hyperaldosteronism

normotensive hyperaldosteronism is a rare disorder. it is usually diagnosed with hypokalemia or an adrenal mass. our patient was a 27-year-old female presented with weakness. she had normal blood pressure, hypokalemia, high plasma aldosterone level and suppressed plasma renin activity. after the saline load, test aldosterone didn’t show suppression. adrenal computed tomography revealed a left a...

Genetics of primary hyperaldosteronism.

Hypertension is a common medical condition and affects approximately 20% of the population in developed countries. Primary aldosteronism is the most common form of secondary hypertension and affects 8-13% of patients with hypertension. The two most common causes of primary aldosteronism are aldosterone-producing adenoma and bilateral adrenal hyperplasia. Familial hyperaldosteronism types I, II ...