Rôle de la chirurgie dans l’hyperaldostéronisme primaire [Surgical treatment for primary aldosteronism]
Details
Request a copy Under embargo until 12/12/2025.
UNIL restricted access
State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
UNIL restricted access
State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_9633EB05D80F
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Rôle de la chirurgie dans l’hyperaldostéronisme primaire [Surgical treatment for primary aldosteronism]
Journal
Revue medicale suisse
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
12/06/2024
Peer-reviewed
Oui
Volume
20
Number
878
Pages
1163-1166
Language
french
Notes
Publication types: Journal Article ; English Abstract
Publication Status: ppublish
Publication Status: ppublish
Abstract
Primary aldosteronism is the most common cause of secondary hypertension in the middle-aged population. A high level of suspicion is required, due to the higher morbidity and mortality associated with damage to target organs (heart, brain, vessels, kidneys) than with essential hypertension. Screening involves 3 phases: detection, confirmation and detection of lateralization if surgery is an option. The choice of treatment will depend on the cause and the patient's wishes and may be either medical (mineralocorticoid receptor antagonists) or surgical (unilateral adrenalectomy). Both treatment options reduce the risk of cardiovascular morbidity and mortality if blood pressure is well controlled.
Keywords
Humans, Hyperaldosteronism/surgery, Hyperaldosteronism/diagnosis, Hyperaldosteronism/complications, Adrenalectomy/methods, Hypertension/diagnosis, Mineralocorticoid Receptor Antagonists/therapeutic use, Middle Aged
Pubmed
Create date
20/06/2024 13:18
Last modification date
21/06/2024 6:17