Highlights
- •Primary aldosteronism (PA) is relatively common cause of difficult-to-control hypertension.
- •Unrecognized and untreated PA increases risk of cardiac and renal complications.
- •Initial workup of high-risk patients should include plasma aldosterone and renin levels.
- •Patients with elevated aldosterone and suppressed renin should be referred to specialty care.
- •Spironolactone is a drug of choice in treatment of bilateral adrenal hyperplasia.
Abstract
Primary aldosteronism is relatively common cause of secondary difficult-to-control
hypertension. It can be cured with either surgery or targeted medical therapy. Unfortunately,
it is rarely recognized by primary care providers. Undiagnosed and untreated, primary
aldosteronism increases risk of cardiovascular and renal complications. Primary care
nurse practitioners are well positioned to identify patients at risk and initiate
diagnostic workup of primary aldosteronism to improve clinical outcomes of patients
with poorly controlled hypertension.
Keywords
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References
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Biography
Irina Benenson, DNP, FNP-C, is an associate professor, Advanced Nursing Division, Rutgers School of Nursing, Newark, NJ, and can be contacted at [email protected]
Biography
Kimberly Buff Prado, DNP, APN, is a clinical assistant professor, Advanced Nursing Practice Division, Rutgers School of Nursing, Newark, NJ.
Article info
Publication history
Published online: August 15, 2022
Publication stage
In Press Corrected ProofFootnotes
In compliance with standard ethical guidelines, the authors report no relationships with business or industry that would pose a conflict of interest.
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© 2022 Elsevier Inc. All rights reserved.
