Overview
Introduction
An adult whose blood pressure remains high despite several antihypertensive drugs has an adrenal incidentaloma and a potassium level of 3.2 mmol/L.
REx-PN
REx-PN
An adult whose blood pressure remains high despite several antihypertensive drugs has an adrenal incidentaloma and a potassium level of 3.2 mmol/L. That combination should prompt consideration of primary aldosteronism, not simply another medication adjustment. The same disorder can exist with a normal potassium level, so the more reliable clinical pattern is hypertension with aldosterone that is inappropriate for a suppressed renin level. The clinical focus is recognition, ordered testing, treatment differences between unilateral and bilateral disease, and the potassium shift that can follow treatment.
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