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new aldo renin ratio results. feedback please

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Hello Dr Grim,

I now have my results of aldo renin ratio blood test from 4 November 2011. Both

these blood tests were done while I was off all meds just taking 3600 K per day.

I am currently on 100mg (about 4 days) of Inspra and DASHing.

What do you think of the results.

Test 1 - 4 November 2011

aldosterone 670 pmol/L

plasma renin activity 1.1nmol/L/h

Test 2 - 4 November 2011

Electrolytes and Creatinine

Sodium 143

Potassium 4.0

Bicarbonate 35  (high result)

Creatinine 85

EGFR 84.4

Completed in 2010

aldo/renin

0.6 renin

905 aldo.

Background

I am a 45 yr old male. mid 20s early HTH, 32 put on anti-hypertensions, over 20

different one's, never had normal BP, always high. 2009 started investigations

for PA. Now have LVH, chest pain from that. Both parents dead. Mom died from

stroke and had triple bypass at young age. Dad had HTH and kidney issues,

Alzheimer's.

I was at a local hospital they did not know what to do next.

I did research and found the best surgeon for PA at Radcliffe hospital got

referred to this hospital late 2010.

Some tests done at hospital A and some done at Radcliffe hospital.

Calderdale Hospital (a)

24 hr urine test has been completed in hospital A, do not have the results just

letter stating in normal range.

aldo/renin completed in Halifax 0.6 renin, 905 aldo. & #8232;salt loading has not

been completed.

CT scans at hospital A radiologist listed Left 9mm edema.

Referred to Radcliffe hospital (B) -

AVS April 2011 - Ratio 1, Right Adrenal - 5.77, Left Adrenal 6.51, cortisol to

venacava (sp?) 4.92.

June 2011 in Oxford  - 2.5 potassium, K too low to do another

aldo/renin & #8232;the specialist radiologist at Oxford Radcliffe Hospital

says no Left 9mm edema on scan. & #8232;

I will have to have AVS again. Results inconclusive.

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