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Practical consensus for the treatment and follow-up of primary aldosteronism: a multidisciplinary consensus document

  • Marta Araujo-Castro,
  • Jorge Gabriel Ruiz-Sánchez,
  • Paola Parra Ramírez,
  • Patricia Martín Rojas-Marcos,
  • Almudena Aguilera-Saborido,
  • Jorge Francisco Gómez Cerezo,
  • Nieves López Lazareno,
  • María Eugenia Torregrosa,
  • Jorge Gorrín Ramos,
  • Josep Oriola,
  • Esteban Poch,
  • Anna Oliveras,
  • José Vicente Méndez Monter,
  • Isabel Gómez Muriel,
  • María Rosa Bella-Cueto,
  • Enrique Mercader Cidoncha,
  • Isabelle Runkle,
  • Felicia A. Hanzu

摘要

Primary aldosteronism (PA) is the most frequent cause of secondary hypertension and is associated with a higher cardiometabolic risk than essential hypertension. The aim of this consensus is to provide practical clinical recommendations for its surgical and medical treatment, pathology study and biochemical and clinical follow-up, as well as for the approach in special situations like advanced age, pregnancy and chronic kidney disease, from a multidisciplinary perspective, in a nominal group consensus approach of experts from the Spanish Society of Endocrinology and Nutrition (SEEN), Spanish Society of Cardiology (SEC), Spanish Society of Nephrology (SEN), Spanish Society of Internal Medicine (SEMI), Spanish Radiology Society (SERAM), Spanish Society of Vascular and Interventional Radiology (SERVEI), Spanish Society of Laboratory Medicine (SEQC(ML)), Spanish Society of Anatomic-Pathology and Spanish Association of Surgeons (AEC).