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Absite Review Series: Adrenal Gland Disorders

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www.downstatesurgery.org<br />

Primary Hyperaldosteronism<br />

Potentially curable cause of significant<br />

cardiovascular disease<br />

Higher risk for stroke, MI, a-fib, LV<br />

hypertrophy compared to age and<br />

systolic BP matched controls<br />

Risks decrease with successful<br />

removal of aldosteronoma<br />

Responsiveness to spironolactone is<br />

a good prognostic sign<br />

Milliez P, Girerd X, Plouin PF, et al: Evidence for an increased rate of cardiovascular events in<br />

patients with primary al-dosteronism. J Am Coll Cardiol 2005; 45:1243-1248.

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