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DIAGNOSTICO DE LAS CAUSAS CURABLES DE ALDOSTERONISMO PRIMARIO

(especial para SIIC © Derechos reservados)
La prevalencia real de aldosteronismo primario es superior a la descrita con anterioridad. El diagnóstico precoz mediante técnicas adecuadas puede asociarse con la curación de la hipertensión y la prevención de eventos cardiovasculares.
Autor:
Gian paolo f Rossi
Columnista Experto de SIIC

Institución:
University Hospital

Artículos publicados por Gian paolo f Rossi
Coautores
Teresa Maria Seccia* Diego Miotto* 
University Hospital, Padua, Italia*
Recepción del artículo
12 de Agosto, 2009 		Aprobación
3 de Junio, 2010
Primera edición
2 de Noviembre, 2010 		Segunda edición, ampliada y corregida
7 de Junio, 2021

DIAGNOSTICO DE LAS CAUSAS CURABLES DE ALDOSTERONISMO PRIMARIO

Resumen
La identificación de las formas quirúrgicamente corregibles de aldosteronismo primario (AP) requiere implementar la medición en sangre venosa suprarrenal (M-SVS) para demostrar la lateralización del exceso de aldosterona. En los pacientes con AP y secreción lateralizada de aldosterona, la suprarrenalectomía puede permitir la normalización de la presión arterial a largo plazo, así como la corrección del AP. En esta presentación resumimos los criterios para la selección de los pacientes candidatos a la M-SVS, la técnica para su realización y los parámetros para el análisis e interpretación de sus resultados.

Palabras clave
aldosterona, hipertensión, glándula suprarrenal, aldosteronismo primario, adenoma


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The Identification of the Surgically Curable Subtypes of Primary Aldosteronism

Abstract
The identification of the surgically correctable forms of primary aldosteronism (PA) requires the adoption of the adrenal vein sampling (AVS) to demonstrate lateralized aldosterone excess. In the patients with PA and lateralized aldosterone secretion, adrenalectomy can provide long-term normalization of blood pressure and correction of PA. We herein summarize the criteria for selecting patients that will undergo AVS, the technique for performing AVS, and the criteria for analyzing and interpreting the results.

Key words
aldosterone, hypertension, adrenal gland, primary aldosteronism, adenoma


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Clasificación en siicsalud
Artículos originales > Expertos del Mundo >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Cardiología, Endocrinología y Metabolismo
Relacionadas: Anatomía Patológica, Bioquímica, Cirugía, Diagnóstico por Imágenes, Diagnóstico por Laboratorio, Genética Humana, Medicina Familiar, Medicina Interna



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Enviar correspondencia a:
Gian Paolo F. Rossi, University Hospital DMCS -Clinica Medica 4 , 35126, via Giustiniani, 2, Padua, Italia
Bibliografía del artículo


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