Abstract
Objective: The aim of this study was to analyse the referral pattern and disease characteristics of patients with hypertension and suspected primary aldosteronism.
Methods: We prospectively collected clinical data from patients who attended the Endocrine Hypertension Service (EHS) at Monash Health from May 2016 to May 2017.
Results: Of 87 patients, 69.2% had indications for primary aldosteronism screening in the primary care setting, although only 3.7% were actually screened. At the time of referral to the EHS, 61% had hypertension for over 10 years and 42% of the patients with primary aldosteronism had associated end-organ damage. Targeted treatment of primary aldosteronism led to biochemical and clinical improvement in all patients.
Discussion: The diagnosis of primary aldosteronism is currently delayed and associated with significant end-organ damage. Increased awareness of primary aldosteronism and its screening indications in primary and tertiary care is needed for earlier diagnosis and improved outcomes.
| Original language | English |
|---|---|
| Pages (from-to) | 712-718 |
| Number of pages | 7 |
| Journal | Australian Journal of General Practice |
| Volume | 47 |
| Issue number | 10 |
| Publication status | Published - Oct 2018 |
Cite this
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Current pattern of primary aldosteronism diagnosis : Delayed and complicated. / Lim, Yin Yu; Shen, Jimmy; Fuller, Peter J; Yang, Jun.
In: Australian Journal of General Practice, Vol. 47, No. 10, 10.2018, p. 712-718.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Current pattern of primary aldosteronism diagnosis
T2 - Delayed and complicated
AU - Lim, Yin Yu
AU - Shen, Jimmy
AU - Fuller, Peter J
AU - Yang, Jun
PY - 2018/10
Y1 - 2018/10
N2 - Background: Primary aldosteronism is the most common specifically treatable and potentially curable cause of hypertension. Objective: The aim of this study was to analyse the referral pattern and disease characteristics of patients with hypertension and suspected primary aldosteronism. Methods: We prospectively collected clinical data from patients who attended the Endocrine Hypertension Service (EHS) at Monash Health from May 2016 to May 2017. Results: Of 87 patients, 69.2% had indications for primary aldosteronism screening in the primary care setting, although only 3.7% were actually screened. At the time of referral to the EHS, 61% had hypertension for over 10 years and 42% of the patients with primary aldosteronism had associated end-organ damage. Targeted treatment of primary aldosteronism led to biochemical and clinical improvement in all patients. Discussion: The diagnosis of primary aldosteronism is currently delayed and associated with significant end-organ damage. Increased awareness of primary aldosteronism and its screening indications in primary and tertiary care is needed for earlier diagnosis and improved outcomes.
AB - Background: Primary aldosteronism is the most common specifically treatable and potentially curable cause of hypertension. Objective: The aim of this study was to analyse the referral pattern and disease characteristics of patients with hypertension and suspected primary aldosteronism. Methods: We prospectively collected clinical data from patients who attended the Endocrine Hypertension Service (EHS) at Monash Health from May 2016 to May 2017. Results: Of 87 patients, 69.2% had indications for primary aldosteronism screening in the primary care setting, although only 3.7% were actually screened. At the time of referral to the EHS, 61% had hypertension for over 10 years and 42% of the patients with primary aldosteronism had associated end-organ damage. Targeted treatment of primary aldosteronism led to biochemical and clinical improvement in all patients. Discussion: The diagnosis of primary aldosteronism is currently delayed and associated with significant end-organ damage. Increased awareness of primary aldosteronism and its screening indications in primary and tertiary care is needed for earlier diagnosis and improved outcomes.
M3 - Article
VL - 47
SP - 712
EP - 718
JO - Australian Journal of General Practice
JF - Australian Journal of General Practice
SN - 2208-7958
IS - 10
ER -