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"Arterial’naya Gipertenziya" ("Arterial Hypertension")

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Symptomatic arterial hypertension associated with primary hyperaldosteronism

https://doi.org/10.18705/1607-419X-2017-23-3-224-230

Abstract

Objective. Primary hyperaldosteronism (PGA) (Conn’s syndrome) is a relatively rare phenomenon in therapeutic practice, occurring in 4,7–9%. In resistant hypertension (HTN) the rate of PGA achieves 10–20%. Often it results from the aldosterone-producing adrenal tumors and manifests by symptomatic HTN, neuromuscular, and renal symptoms. We present the cases of successful verification and surgical treatment of PGA. HTN patients and patients with rhabdomyolysis symptoms (increased creatine phosphokinase or lactate dehydrogenase) require further examination to exclude PGA. 

About the Authors

A. N. Kalyagin
Irkutsk State Medical University, Irkutsk
Russian Federation

MD, PhD, DSc, Professor, Head, Department of Internal Medicine Propaedeutics

PO Box 62, Irkutsk, 664046

Phone: +7(3952)24–36–61



V. A. Beloborodov
Irkutsk State Medical University, Irkutsk
Russian Federation
MD, PhD, DSc, Professor, Head, Department of General Surgery


T. M. Maksikova
Irkutsk State Medical University, Irkutsk
Russian Federation
MD, PhD, Assistant, Department of Internal Medicine Propaedeutics


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Review

For citations:


Kalyagin A.N., Beloborodov V.A., Maksikova T.M. Symptomatic arterial hypertension associated with primary hyperaldosteronism. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2017;23(3):224-230. (In Russ.) https://doi.org/10.18705/1607-419X-2017-23-3-224-230

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ISSN 1607-419X (Print)
ISSN 2411-8524 (Online)