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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 355 - 363 (9page)
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Background: The aim of this study was to investigate the factors associated with resolution of hypertension after adrenalectomy inpatients with primary aldosteronism. A secondary aim was to describe our use of the contralateral ratio in adrenal venous sampling(AVS) in the setting of suboptimal successful cannulation rates. Methods: A retrospective review of patients who underwent AVS followed by unilateral adrenalectomy for primary aldosteronismwas performed. Results: Complete resolution of hypertension and hypokalemia was seen in 17 of 40 patients (42.5%), while a clinical improvementin hypertension was seen in 38 of 40 (95%). Shorter duration of hypertension, mean aldosteronoma resolution score (ARS), and ahigh ARS of 3 to 5 were associated with resolution of hypertension after adrenalectomy (P=0.02, P=0.02, and P=0.004, respectively). Of the individual components of ARS, only a duration of hypertension of ≤6 years was associated with resolution of hypertensionafter adrenalectomy (P=0.03). Conclusion: A shorter duration of hypertension was significantly associated with resolution of hypertension after adrenalectomy inpatients with primary aldosteronism.
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참고문헌 (34)
참고문헌 신청
Rossi GP / 2006 / A prospective study of the prevalence of primary aldosteronism in 1,125 hypertensive patients / J Am Coll Cardiol 48:2293~2300
Lim PO / 1999 / Potentially high prevalence of primary aldosteronism in a primary-care population / Lancet 353:40
Kumar A / 1994 / Screening of a population of young hypertensives for primary hyperaldosteronism / J Hum Hypertens 8:731~732
Gordon RD / 1994 / High incidence of primary aldosteronism in 199 patients referred with hypertension / Clin Exp Pharmacol Physiol 21:315~318
Loh KC / 2000 / Prevalence of primary aldosteronism among Asian hypertensive patients in Singapore / J Clin Endocrinol Metab 85:2854~2859
Lim PO / 1999 / Potentially high prevalence of primary aldosteronism in a primary-care population / Lancet 353:40
Kumar A / 1994 / Screening of a population of young hypertensives for primary hyperaldosteronism / J Hum Hypertens 8:731~732
Gordon RD / 1994 / High incidence of primary aldosteronism in 199 patients referred with hypertension / Clin Exp Pharmacol Physiol 21:315~318
Loh KC / 2000 / Prevalence of primary aldosteronism among Asian hypertensive patients in Singapore / J Clin Endocrinol Metab 85:2854~2859
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