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Re: Re: ARR

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Does depend on how renin is measured. What you would like to know is: dr what have you been seeing with the A/R in the lab u are using in pts you have sent samples on? What is your personal cut off in your practice? This assumes they have done ARR in many normals in their own practice which is not usually the case. So the big question should be: if my renin is so low why is my Aldo also not very low. If it is not then most likely early PA. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

ARR is short for aldosterone/renin ratio and you ignore the units of measure and figure a ratio from the 2 numbers. I'm not sure what the numbers you quoted represent but as I remember it there is suspecion if the result is >20. I'm treated by the VA and it is supposedly manditory for further testing if the number is >30 however they didn't follow thru when mine was 50!

Hope that helps

- 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/69

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD.

Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

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> Thought I read in the Evolution of PA that one diagnostic criteria is an ARR of 10 or higher. I read in another source is was 14 or higher.

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> Is the ARR diagnostic criteria set in stone? I know this is just one piece of the puzzle, but wanted to get my ARR facts straight.

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