We are not stupid

[Guest guest]

I hate it when doctors think we are so stupid they can say anything and

think we don't know any better and can't read. I was told at Mayo that

there is no way I could have an adenoma because my renin was 1.8. Urinary

sodium was too low to measure. Funny how spiro works with my nonexistent

PA. The same person WF Young) writes prolifically that only AVS can

determine if one has an adenoma or hyperplasia. I am sickened.

Val

.. " Typically, renin levels are suppressed to less than 1 ng/mL/h in

patients with primary hyperaldosteronism, and levels do not stimulate above

2 ng/mL/h with diuretics and upright posture.

.. Because of this finding, some experts suggest that suppressed renin

levels should be used as a screen for detecting primary hyperaldosteronism.

However, in a 1993 series by Bravo, 30% of patients had renin levels that

rose to greater than 2 ng/mL/h when appropriately stimulated by sodium

deprivation.1 "

___________

1. Bravo EL. Primary aldosteronism: new approaches to diagnosis and

management. Cleve Clin J Med. Sep-Oct 1993;60(5):379-86. [Medline].

From:

http://www.emedicine.com/med/TOPIC432.HTM