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Imaging or Adrenal Vein Sampling Approach in Primary Aldosteronism? A Patient-Based Approach
Primary aldosteronism (PA) is the most frequent cause of secondary hypertension, associated with an increased risk of cardiovascular and cerebral disease, compared to essential hypertension. Therefore, it is mandatory to promptly recognize the disease and offer to the patient the correct diagnostic–...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9680373/ https://www.ncbi.nlm.nih.gov/pubmed/36412687 http://dx.doi.org/10.3390/tomography8060228 |
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author | Tizianel, Irene Sabbadin, Chiara Mian, Caterina Scaroni, Carla Ceccato, Filippo |
author_facet | Tizianel, Irene Sabbadin, Chiara Mian, Caterina Scaroni, Carla Ceccato, Filippo |
author_sort | Tizianel, Irene |
collection | PubMed |
description | Primary aldosteronism (PA) is the most frequent cause of secondary hypertension, associated with an increased risk of cardiovascular and cerebral disease, compared to essential hypertension. Therefore, it is mandatory to promptly recognize the disease and offer to the patient the correct diagnostic–therapeutic process in order to reduce new-onset cardiovascular events. It is fundamental to define subtype classification (unilateral or bilateral disease), in order to provide the best treatment (surgery for unilateral and medical treatment for bilateral disease). Here, we report five clinical cases of different subtypes of PA (patients with monolateral or bilateral PA, nondiagnostic AVS, allergy to iodinated contrast, and patients not suitable for surgery), with particular attention to the diagnostic–therapeutic process and the different approaches tailored to a single case. Since PA is a spectrum of various diseases, it needs a personalized diagnostic–therapeutic process, customized for the individual patient, depending on previous medical history, suitability for the surgery and patient’s preferences. |
format | Online Article Text |
id | pubmed-9680373 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-96803732022-11-23 Imaging or Adrenal Vein Sampling Approach in Primary Aldosteronism? A Patient-Based Approach Tizianel, Irene Sabbadin, Chiara Mian, Caterina Scaroni, Carla Ceccato, Filippo Tomography Review Primary aldosteronism (PA) is the most frequent cause of secondary hypertension, associated with an increased risk of cardiovascular and cerebral disease, compared to essential hypertension. Therefore, it is mandatory to promptly recognize the disease and offer to the patient the correct diagnostic–therapeutic process in order to reduce new-onset cardiovascular events. It is fundamental to define subtype classification (unilateral or bilateral disease), in order to provide the best treatment (surgery for unilateral and medical treatment for bilateral disease). Here, we report five clinical cases of different subtypes of PA (patients with monolateral or bilateral PA, nondiagnostic AVS, allergy to iodinated contrast, and patients not suitable for surgery), with particular attention to the diagnostic–therapeutic process and the different approaches tailored to a single case. Since PA is a spectrum of various diseases, it needs a personalized diagnostic–therapeutic process, customized for the individual patient, depending on previous medical history, suitability for the surgery and patient’s preferences. MDPI 2022-11-09 /pmc/articles/PMC9680373/ /pubmed/36412687 http://dx.doi.org/10.3390/tomography8060228 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Tizianel, Irene Sabbadin, Chiara Mian, Caterina Scaroni, Carla Ceccato, Filippo Imaging or Adrenal Vein Sampling Approach in Primary Aldosteronism? A Patient-Based Approach |
title | Imaging or Adrenal Vein Sampling Approach in Primary Aldosteronism? A Patient-Based Approach |
title_full | Imaging or Adrenal Vein Sampling Approach in Primary Aldosteronism? A Patient-Based Approach |
title_fullStr | Imaging or Adrenal Vein Sampling Approach in Primary Aldosteronism? A Patient-Based Approach |
title_full_unstemmed | Imaging or Adrenal Vein Sampling Approach in Primary Aldosteronism? A Patient-Based Approach |
title_short | Imaging or Adrenal Vein Sampling Approach in Primary Aldosteronism? A Patient-Based Approach |
title_sort | imaging or adrenal vein sampling approach in primary aldosteronism? a patient-based approach |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9680373/ https://www.ncbi.nlm.nih.gov/pubmed/36412687 http://dx.doi.org/10.3390/tomography8060228 |
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