一名男性患者的原发性高醛固酮症:病例报告

Venkata Aditya Duvvuri, Shashidhar Pulgam, Sri Sravya Kota
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引用次数: 0

摘要

许多高血压患者通常被诊断为原发性高血压,但并非所有患者都接受过继发性高血压筛查。原发性高醛固酮血症通常是继发性高血压的主要病因,尤其是在早年就患高血压的人身上。如果高血压患者突然出现低钾血症,就需要对潜在病因进行评估。与原发性高血压相比,原发性高醛固酮血症(原发性醛固酮增多症(PA))会导致更严重的内脏损害,并与左心室肥厚(LVH)、心力衰竭(HF)、脑血管意外(CVA)、非致命性心肌梗死和心房颤动(AF)等心血管并发症增多有关。原发性高醛固酮症是一种诊断不足的疾病,因为它没有任何特殊的、易于识别的特征,医生可能会忽视这种疾病。
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Primary Hyperaldosteronism in a Male Patient: A Case Report.

Many individuals who develop hypertension are usually diagnosed with primary hypertension, but not all are screened for secondary hypertension. Primary hyperaldosteronism is often a leading cause of secondary hypertension, particularly in individuals who develop hypertension at an early age. The sudden onset of hypokalemia in a hypertensive patient warrants evaluation for underlying etiologies. Primary hyperaldosteronism [primary aldosteronism (PA)] leads to greater end-organ damage and is linked with increased cardiovascular complications such as left ventricular hypertrophy (LVH), heart failure (HF), cerebrovascular accident (CVA), nonfatal myocardial infarction, and atrial fibrillation (AF) when compared to primary hypertension. Primary hyperaldosteronism is an underdiagnosed condition as it does not have any specific, easily identifiable features, and physicians can overlook the disease.

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