2023 Korean Endocrine Society Consensus Guidelines for the Diagnosis and Management of Primary Aldosteronism

被引:8
作者
Ha, Jeonghoon [1 ]
Park, Jung Hwan [2 ]
Kim, Kyoung Jin [3 ]
Kim, Jung Hee [4 ]
Jung, Kyong Yeun [5 ]
Lee, Jeongmin [6 ]
Choi, Jong Han [7 ]
Lee, Seung Hun [8 ]
Hong, Namki [9 ]
Lim, Jung Soo [10 ,11 ]
Park, Byung Kwan [12 ]
Kim, Jung-Han [13 ]
Jung, Kyeong Cheon [14 ]
Cho, Jooyoung [15 ]
Kim, Mi-Kyung [16 ]
Chung, Choon Hee [10 ,11 ]
机构
[1] Catholica Univ Korea, Seoul St Marys Hosp, Div Endocrinol & Metab, Dept Internal Med, Seoul, South Korea
[2] Hanyang Univ, Dept Internal Med, Coll Med, Seoul, South Korea
[3] Korea Univ, Div Endocrinol & Metab, Dept Internal Med, Coll Med, Seoul, South Korea
[4] Seoul Natl Univ, Dept Internal Med, Coll Med, Seoul, South Korea
[5] Eulji Univ, Dept Internal Med, Nowon Eulji Med Ctr, Sch Med, Daejeon, South Korea
[6] Catholica Univ Korea, Eunpyeong St Marys Hosp, Div Endocrinol & Metab, Dept Internal Med,Coll Med, Seoul, South Korea
[7] Konkuk Univ, Div Endocrinol & Metab, Dept Internal Med, Sch Med, Seoul, South Korea
[8] Univ Ulsan, Div Endocrinol & Metab, Dept Med, Asan Med Ctr,Coll Med, Ulsan, South Korea
[9] Yonsei Univ, Endocrine Res Inst, Dept Internal Med, Coll Med, Seoul, South Korea
[10] Yonsei Univ, Dept Internal Med, Wonju Coll Med, 20 Ilsan Ro, Wonju 26426, South Korea
[11] Yonsei Univ, Res Inst Metab & Inflammat, Wonju Coll Med, 20 Ilsan Ro, Wonju 26426, South Korea
[12] Sungkyunkwan Univ, Sch Med, Dept Radiol, Samsung Med Ctr, Seoul, South Korea
[13] Sungkyunkwan Univ, Dept Surg, Samsung Med Ctr, Sch Med, Seoul, South Korea
[14] Seoul Natl Univ, Dept Pathol, Coll Med, Seoul, South Korea
[15] Yonsei Univ, Dept Lab Med, Wonju Coll Med, Wonju, South Korea
[16] Inje Univ, Coll Med, Dept Internal Med, Haeundae Paik Hosp, 875 Haeun Daero, Busan 48108, South Korea
关键词
Primary aldosteronism; Hypertension; Diagnosis; Treatment; Guideline; MINERALOCORTICOID RECEPTOR ANTAGONISTS; POSITRON-EMISSION-TOMOGRAPHY; PLASMA-RENIN ACTIVITY; EUROPEAN-SOCIETY; FAMILIAL HYPERALDOSTERONISM; CONTRALATERAL SUPPRESSION; POSITION STATEMENT; PROSPECTIVE COHORT; CHANNEL MUTATIONS; CLINICAL-OUTCOMES;
D O I
10.3803/EnM.2023.1789
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Primary aldosteronism (PA) is a common, yet underdiagnosed cause of secondary hypertension. It is characterized by an overproduction of aldosterone, leading to hypertension and/or hypokalemia. Despite affecting between 5.9% and 34% of patients with hypertension, PA is frequently missed due to a lack of clinical awareness and systematic screening, which can result in significant cardiovascular complications. To address this, medical societies have developed clinical practice guidelines to improve the management of hypertension and PA. The Korean Endocrine Society, drawing on a wealth of research, has formulated new guidelines for PA. A task force has been established to prepare PA guidelines, which encompass epidemiology, pathophysiology, clinical presentation, diagnosis, treatment, and follow-up care. The Korean clinical guidelines for PA aim to deliver an evidence-based protocol for PA diagnosis, treatment, and patient monitoring. These guidelines are anticipated to ease the burden of this potentially curable condition.
引用
收藏
页码:597 / 618
页数:22
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