Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
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University Rehabilitation Institute, Ljubljana, Slovenia
FAMNIT, University of Primorska, Koper, Slovenia
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Clinical Institute of Radiology, University Medical Centre Ljubljana, Ljubljana, Slovenia
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Clinical Institute of Radiology, University Medical Centre Ljubljana, Ljubljana, Slovenia
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. Hypertension Research 2007 30 1083 – 1095 . ( https://doi.org/10.1291/hypres.30.1083 ) 41 Karashima S Takeda Y Cheng Y Yoneda T Demura M Kometani M Ohe M Mori S Yagi K Yamagishi M . Clinical characteristics of primary hyperaldosteronism
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We recently reported that stimulation with high-dose ACTH caused different responses in terms of aldosterone secretion in aldosterone-producing adenomas (APAs) and idiopathic hyperaldosteronism (IHA) in patients with primary aldosteronism (PA). However, the role of endogenous ACTH in aldosterone secretion in PA has not been systematically evaluated. In this study, we examined diurnal changes in plasma aldosterone concentration (PAC), and changes in PAC after dexamethasone administration in patients with suspected PA, in order to evaluate the effect of endogenous ACTH on aldosterone secretion. Seventy-three patients admitted to Kyoto University Hospital with suspected PA were included. The patients were classified into non-PA, IHA, and APA groups according to the results of captopril challenge test and adrenal venous sampling. PAC at 0900 h (PAC0900), 2300 h (PAC2300), and after 1-mg dexamethasone suppression test (PACdex) was measured and compared among the three groups. The PAC2300/PAC0900 and PACdex/PAC0900 ratios were also analyzed. PAC2300 and PACdex were lower than PAC0900 in all three groups. There were no significant differences in PAC2300/PAC0900 among the three groups. However, PACdex/PAC0900 was significantly lower in the APA group compared with the non-PA and IHA groups. The results of this study indicate that aldosterone secretion in APA patients is more strongly dependent on endogenous ACTH than in IHA and non-PA patients. The results also suggest that factors other than ACTH, such as clock genes, may cause diurnal changes in aldosterone secretion in IHA and non-PA patients.
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2.5 ± 1.6 (range 1.7–4.1) 10.17 ± 3.27 Adenoma a 0.001 Pheochromocytoma 4 4.1 ± 2.3 (range 2–6.4) 8.71 ± 2.72 Adenoma b Carcinoma c 0.004 Primary hyperaldosteronism 1 1 3.30 Adenoma – Operated with
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Hormone Laboratory, Department of Medicine, Department of Clinical Science, Department of Radiology, Haukeland University Hospital, 5021 Bergen, Norway
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Hormone Laboratory, Department of Medicine, Department of Clinical Science, Department of Radiology, Haukeland University Hospital, 5021 Bergen, Norway
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Hormone Laboratory, Department of Medicine, Department of Clinical Science, Department of Radiology, Haukeland University Hospital, 5021 Bergen, Norway
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College of Cardiology 2006 48 2293 – 2300 . ( doi:10.1016/j.jacc.2006.07.059 ). 3 Fardella CE Mosso L Gomez-Sanchez C Cortes P Soto J Gomez L Pinto M Huete A Oestreicher E Foradori A . Primary hyperaldosteronism in essential
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Papadopoulos N Vogiatzis K & Zamboulis C . Prevalence of primary hyperaldosteronism in resistant hypertension: a retrospective observational study . Lancet 2008 371 1921 – 1926 . ( https://doi.org/10.1016/S0140-6736(0860834-X ) 3 Funder JW Carey
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Division of Interventional Cognitive Neurology, Department of Neurology, Berenson-Allen Center for Noninvasive Brain Stimulation, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
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.1093/ajh/hpu161 25213687 23 Schirpenbach C Segmiller F Diederich S Hahner S Lorenz R Rump LC Seufert J Quinkler M Bidlingmaier M Beuschlein F , The diagnosis and treatment of primary hyperaldosteronism in Germany – results on 555 patients from the
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Arnesen T Glomnes N Strømsøy S Knappskog S Heie A Akslen LA Grytaas M Varhaug JE Gimm O Brauckhoff M Outcome after surgery for primary hyperaldosteronism may depend on KCNJ5 tumor mutation status: a population-based study from Western
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Medicine Department, Basque Country University, Bilbao, Spain
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Instituto de Investigación Biomédica Ramón y Cajal (IRYCIS), Madrid, Spain
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CIBEROBN, Madrid, Spain
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Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Spain
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Instituto de Investigación Biomédica Ramón y Cajal (IRYCIS), Madrid, Spain
University of Alcalá, Madrid, Spain
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cardiometabolic profile disappeared after adjusting for hypertension duration. A longer time elapsed between the diagnosis of hypertension and primary hyperaldosteronism was observed in the group of PA ≥65 than in the younger group (10.2 ± 10.26 vs 4.1 ± 7
Centre for Endocrinology and Metabolism, Hudson Institute of Medical Research, Victoria, Australia
Department of Endocrinology and Metabolism, BSMMU, Dhaka, Bangladesh
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Centre for Endocrinology and Metabolism, Hudson Institute of Medical Research, Victoria, Australia
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.3109/02813432.2011.554015 ) 2 Douma S Petidis K Doumas M Papaefthimiou P Triantafyllou A Kartali N Papadopoulos N Vogiatzis K & Zamboulis C . Prevalence of primary hyperaldosteronism in resistant hypertension: a retrospective observational study . Lancet
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Department and Graduate Institute of Forensic Medicine, National Taiwan University College of Medicine, Taipei, Taiwan
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BS Auchus R Holt S Watumull L Dolmatch B Nesbitt S Vongpatanasin W Victor R Wians F , Primary hyperaldosteronism: Effect of adrenal vein sampling on surgical outcome . Archives of Surgery 2006 141 497 – 502 . ( https://doi.org/10