Author/Editor		Kocjan, Tomaž
Title		Primarni aldosteronizem
Translated title		Primary aldosteronism
Type		članek
Source		In: Križman I, editor. Interna medicina 2005: novosti in aktualnosti. Zbornik predavanj 2. kongres Združenja internistov SZD; 2005 okt 21-22; Ljubljana. Ljubljana: Slovensko zdravniško društvo, Združenje internistov,
Publication year		2005
Volume		str. 281-4
Language		slo
Abstract		Primary aldosteronism (PA) affects 4.5% of patients with hypertension. Patients with hypertension and hypokalemia, resistant hypertension or adrenal incidentaloma should undergo screening for PA with a plasma aldosterone concentration to plasma renin activity ratio. A high ratio warrants confirmatory testing for PA. For those patients with PA who want to pursue a surgical cure, the accurate distinction between autonomous aldosterone secretion from one or both adrenal glands is the next step. Laparoscopic adrenalectomy follows when aldosterone secretion is unilateral, otherwise treatment is medical with aldosterone antagonists.
Descriptors		HYPERALDOSTERONISM ADRENALECTOMY