{"id":151,"date":"2013-10-27T01:40:12","date_gmt":"2013-10-27T01:40:12","guid":{"rendered":"http:\/\/www.modestosurgery.com\/surgeryblog\/?p=151"},"modified":"2013-10-27T01:40:52","modified_gmt":"2013-10-27T01:40:52","slug":"primary-hyperaldosteronism","status":"publish","type":"post","link":"http:\/\/www.modestosurgery.com\/surgeryblog\/primary-hyperaldosteronism\/","title":{"rendered":"Primary hyperaldosteronism"},"content":{"rendered":"<h2>Primary hyperaldosteronism<\/h2>\n<ul>\n<li><strong>Hypertension<\/strong> in the presence of elevated aldosterone and suppressed plasma renin<\/li>\n<li>Two major causes are aldosteronoma and idiopathic hyperaldosteronism (IHA)<\/li>\n<\/ul>\n<h3><span style=\"color: #ff9900;\">Aldosteronoma<\/span><\/h3>\n<ul>\n<li><span style=\"color: #ff9900;\">60% of cases<\/span><\/li>\n<li><span style=\"color: #ff9900;\">more often in women<\/span><\/li>\n<li><span style=\"color: #ff9900;\">Hypertension and <strong>hypokalemia<\/strong> is more severe compared with IHA<\/span><\/li>\n<li><span style=\"color: #ff9900;\">Salt loading does not change aldosterone levels<\/span><\/li>\n<li><span style=\"color: #ff9900;\">CT usually reveals a small solitary adrenal tumor<\/span><\/li>\n<li><span style=\"color: #ff9900;\">Adrenal vein sampling will reveal unilateral hypersecretion of aldosterone.<\/span><\/li>\n<li><span style=\"color: #ff9900;\">Treatment is surgical resection<\/span><\/li>\n<\/ul>\n<h3>Idiopathic Hyperaldosteronism (IHA)<\/h3>\n<ul>\n<li>30% of cases<\/li>\n<li>More often in Men<\/li>\n<li>Salt loading decreases aldosterone levels<\/li>\n<li>CT reveals normal to bilaterally enlarged glads<\/li>\n<li>Adrenal vein sampling reveals bilateral hypersecretion of aldosterone<\/li>\n<li>Treatment is with potassium sparing diuretics &#8211; spironolactone<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Primary hyperaldosteronism Hypertension in the presence of elevated aldosterone and suppressed plasma renin Two major causes are aldosteronoma and idiopathic hyperaldosteronism (IHA) Aldosteronoma 60% of cases more often in women Hypertension and hypokalemia is more severe compared with IHA Salt loading does not change aldosterone levels CT usually reveals a small solitary adrenal tumor Adrenal &hellip; <a href=\"http:\/\/www.modestosurgery.com\/surgeryblog\/primary-hyperaldosteronism\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Primary hyperaldosteronism<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[257,1],"tags":[],"class_list":["post-151","post","type-post","status-publish","format-standard","hentry","category-aldosteronoma","category-uncategorized"],"_links":{"self":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts\/151","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/comments?post=151"}],"version-history":[{"count":2,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts\/151\/revisions"}],"predecessor-version":[{"id":153,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts\/151\/revisions\/153"}],"wp:attachment":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/media?parent=151"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/categories?post=151"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/tags?post=151"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}