discussion-presentation33

• Recommendations for screening primary hyperaldosteronism:

• All patients with the combination of hypertension and hypokalemia, (spontaneous or diuretic-induced)
• Young patients with hypertension,
• Patients with early onset of cerebrovascular accident (<age 50),
• Patients with a positive family history of early stroke in a first-degree relative,
• Patients with hypertension and adrenal incidentalomas,
• Those whose blood pressure is difficult to control (resistant hypertension),

• Primary hyperaldosteronism is especially common among patients with resistant hypertension.
• In evaluations by several different investigators, the prevalence of primary hyperaldosteronism has been consistently reported as about 20% among subjects with resistant hypertension.