Primärer Hyperaldosteronismus – Sekundäre Hypertonie
Über den Vortrag
Der Vortrag „Primärer Hyperaldosteronismus – Sekundäre Hypertonie“ von Amy Sussman, MD ist Bestandteil des Kurses „Sekundäre Hypertonie“.
Quiz zum Vortrag
Which of the following is true regarding the diagnosis of primary hyperaldosteronism?
- A ratio of plasma aldosterone concentration to plasma renin activity of >35 is suggestive of primary hyperaldosteronism.
- A ratio of plasma aldosterone concentration to plasma renin activity of >35 confirms primary hyperaldosteronism.
- Aldosterone antagonists should be stopped for at least 6 weeks before testing because they may give false-negative results.
- Patients with primary hyperaldosteronism usually present with hypertension, unexplained hypokalemia, and metabolic acidosis.
Which of the following is correct regarding the management of primary hyperaldosteronism?
- Laparoscopic adrenalectomy is the preferred treatment for patients with unilateral adenoma.
- Patients with bilateral adrenal hyperplasia should be treated with aldosterone antagonists for 3 to 4 weeks before laparoscopic adrenalectomy.
- Patients with unilateral adrenal adenoma should be on aldosterone antagonists indefinitely.
- ACE inhibitors/ARBs are the first-line treatment for primary hyperaldosteronism.
What is the limitation of using CT in the workup of primary hyperaldosteronism?
- It may detect incidentaloma instead of bilateral adrenal hyperplasia.
- It is invasive.
- Only a few centers have this imaging modality.
- It is time-consuming and operator-dependent.
What is the reason for measuring urine sodium and creatinine in the sodium loading test?
- To ensure accurate urine collection and sodium intake
- To distinguish adrenal adenoma from bilateral hyperplasia
- A urinary sodium level of >14 μg/day is diagnostic for primary hyperaldosteronism.
- To distinguish primary hyperaldosteronism from secondary hyperaldosteronism
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Dozent des Vortrages Primärer Hyperaldosteronismus – Sekundäre Hypertonie
Amy Sussman, MD
Dr. Amy Sussman is an Associate Professor of Medicine and the Vice Chair of Education in the Department of Medicine of the University of Arizona (UA), USA.
She obtained her MD from the University of Arizona in 2001 and completed residency and a Nephrology Fellowship at the University of Washington. Dr. Sussman was recruited back to the UA in 2009 and also serves as her department's clerkship director, and as the program director of the UA Nephrology Fellowship.
Because of her strong emphasis on medical student teaching, she has been distinguished with multiple teaching awards in the UA College of Medicine.
Within Lecturio, Dr. Sussman teaches courses on Nephrology.
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