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Current Cardiology Reports

, 21:93 | Cite as

Primary Aldosteronism: Cardiovascular Outcomes Pre- and Post-treatment

  • Gregory L. HundemerEmail author
Hypertension (DS Geller and DL Cohen, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Hypertension

Abstract

Purpose of Review

Primary aldosteronism (PA) is a common form of hypertension characterized by autonomous aldosterone secretion from one or both adrenal glands. The purpose of this review is to synthesize recent research findings regarding cardiovascular disease risk in PA both pre- and post-targeted therapy.

Recent Findings

Previously considered a rare disease, recent prevalence studies demonstrate that PA is actually a very common, yet vastly under-diagnosed, etiology of hypertension. Prior to targeted therapy, PA is associated with substantially higher rates of cardiovascular disease compared with essential hypertension. Surgical adrenalectomy is highly effective in curing or improving hypertension as well as mitigating cardiovascular disease risk in patients with unilateral PA. For the remainder of PA patients, MR antagonists are recommended; however, several recent studies have brought into question their effectiveness in improving cardiovascular outcomes.

Summary

PA is a common cause of hypertension that leads to disproportionately high rates of cardiovascular disease. Future studies are needed to enhance the clinical approach to both identification and treatment of patients with PA to optimize long-term cardiovascular outcomes.

Keywords

Primary aldosteronism Primary hyperaldosteronism Conn’s syndrome Mineralocorticoid receptor antagonist Cardiovascular disease Atrial fibrillation 

Notes

Compliance with Ethical Standards

Conflict of Interest

Gregory L. Hundemer declares that he has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Nephrology, Ottawa Hospital Research InstituteUniversity of OttawaOttawaCanada

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