Як відрізнити первинний та вторинний альдостеронізм
Clinical Finding | Primary Aldosteronism | Secondary Aldosteronism | ||
|---|---|---|---|---|
Adenoma | Hyperplasia | Renovascular or Accelerated Hypertension | Edematous Disorders† | |
Blood pressure | ↑↑ | ↑ | ↑↑↑↑ | N or ↑ |
Edema | Rare | Rare | Rare | Present |
Serum sodium | N or ↑ | N or ↑ | N or ↓ | N or ↓ |
Serum potassium | N or ↓ | N or ↓ | ↓ | N or ↓ |
Plasma renin activity* | ↓↓ | ↓↓ | ↑↑ | ↑ |
Aldosterone | ↑ | ↑ | ↑↑ | ↑ |
* When corrected for age; older patients have lower mean plasma renin activity. | ||||
† Secondary to decreased renal blood flow as in heart failure, cirrhosis, nephrotic syndrome. | ||||
↑↑↑↑= very greatly increased; ↑↑= greatly increased; ↑= increased; ↓↓= greatly decreased; ↓= decreased; N = normal. | ||||
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