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
相关论文
共 151 条
[21]   Adrenal vein sampling: How to make it quick, easy, and successful [J].
Daunt, N .
RADIOGRAPHICS, 2005, 25 :S143-U160
[22]  
DEGASPARO M, 1987, J PHARMACOL EXP THER, V240, P650
[23]  
Deinum J, 2018, HYPERTENSION, V71, P10, DOI 10.1161/HYPERTENSIONAHA.117.09294
[24]   Adrenal vein sampling versus CT scan to determine treatment in primary aldosteronism: an outcome-based randomised diagnostic trial [J].
Dekkers, Tanja ;
Prejbisz, Aleksander ;
Kool, Leo J. Schultze ;
Groenewoud, Hans J. M. M. ;
Velema, Marieke ;
Spiering, Wilko ;
Kolodziejczyk-Kruk, Sylwia ;
Arntz, Mark ;
Kadziela, Jacek ;
Langenhuijsen, Johannes F. ;
Kerstens, Michiel N. ;
van den Meiracker, Anton H. ;
van den Born, Bert-Jan ;
Sweep, Fred C. G. J. ;
Hermus, Ad R. M. M. ;
Januszewicz, Andrzej ;
Ligthart-Naber, Alike F. ;
Makai, Peter ;
van der Wilt, Gert-Jan ;
Lenders, Jacques W. M. ;
Deinum, Jaap .
LANCET DIABETES & ENDOCRINOLOGY, 2016, 4 (09) :739-746
[25]   Imaging CXCR4 expression in patients with suspected primary hyperaldosteronism [J].
Ding, Jie ;
Zhang, Yushi ;
Wen, Jin ;
Zhang, Hui ;
Wang, Huiping ;
Luo, Yaping ;
Pan, Qingqing ;
Zhu, Wenjia ;
Wang, Xuezhu ;
Yao, Shaobo ;
Kreissl, Michael C. ;
Hacker, Marcus ;
Tong, Anli ;
Huo, Li ;
Li, Xiang .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2020, 47 (11) :2656-2665
[26]   Resistant hypertension, obstructive sleep apnoea and aldosterone [J].
Dudenbostel, T. ;
Calhoun, D. A. .
JOURNAL OF HUMAN HYPERTENSION, 2012, 26 (05) :281-287
[27]  
Ebbehoj A, 2020, LANCET DIABETES ENDO, V8, P894, DOI 10.1016/S2213-8587(20)30314-4
[28]   Role of ACTH and Other Hormones in the Regulation of Aldosterone Production in Primary Aldosteronism [J].
El Ghorayeb, Nada ;
Bourdeau, Isabelle ;
Lacroix, Andre .
FRONTIERS IN ENDOCRINOLOGY, 2016, 7
[29]   European Society of Endocrinology clinical practice guidelines on the management of adrenal incidentalomas, in collaboration with the European Network for the Study of Adrenal Tumors [J].
Fassnacht, Martin ;
Tsagarakis, Stylianos ;
Terzolo, Massimo ;
Tabarin, Antoine ;
Sahdev, Anju ;
Newell-Price, John ;
Pelsma, Iris ;
Marina, Ljiljana ;
Lorenz, Kerstin ;
Bancos, Irina ;
Arlt, Wiebke ;
Dekkers, Olaf M. .
EUROPEAN JOURNAL OF ENDOCRINOLOGY, 2023, 189 (01) :G1-G42
[30]   A gain-of-function mutation in the CLCN2 chloride channel gene causes primary aldosteronism [J].
Fernandes-Rosa, Fabio L. ;
Daniil, Georgios ;
Orozco, Ian J. ;
Goeppner, Corinna ;
El Zein, Rami ;
Jain, Vandana ;
Boulkroun, Sheerazed ;
Jeunemaitre, Xavier ;
Amar, Laurence ;
Lefebvre, Herve ;
Schwarzmayr, Thomas ;
Strom, Tim M. ;
Jentsch, Thomas J. ;
Zennaro, Maria-Christina .
NATURE GENETICS, 2018, 50 (03) :355-+