Changes in the Perceived Epidemiology of Primary Hyperaldosteronism

[Guest guest]

Dr. Grim, Have you seen this article published this year? Looks like the

Italians are " picking up what you are putting down! " I thought it was a good

summary of where we are and how we got here! (Will probably give a copy to my

PCP and see if she has anyone with HTN who also have DM or OSA.!)

Changes in the Perceived Epidemiology of Primary Hyperaldosteronism

Riccardo Fagugli* and Chiara Taglioni

S. C. Nefrologia e D ialisi, Azienda Ospedaliera di Perugia, S. delle

Fratte, 06129 Perugia, Italy

*Riccardo Fagugli: Email: rmfag@...

Academic Editor: Zafar Israili

Received March 9, 2011; Revised May 9, 2011; Accepted June 13, 2011.

Excerpt from the conclusion:

" A higher prevalence up to 15–20% is highly probable in selected patients, such

as those with type 2 diabetes and refractory high blood pressure or sleep apnea

syndrome. In these populations, the study of aldosterone should be considered as

routine in the flowchart of diagnostic procedures and hypokalemia should not be

a determinant in the screening process. "

Does that ake me 60% likely since I have them all? Maybe we should do a survey

of the amount of Spiro and Elper Rxed by the VA!

- 65 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): 122/73

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

Meds: Duloxetine hcl 80 MG, Mirtazapine 7.5 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

[Guest guest]

I should have included the address:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3151507/pdf/IJHT2011-162804.pdf

>

> Dr. Grim, Have you seen this article published this year? Looks like the

Italians are " picking up what you are putting down! " I thought it was a good

summary of where we are and how we got here! (Will probably give a copy to my

PCP and see if she has anyone with HTN who also have DM or OSA.!)

>

>

>

> Changes in the Perceived Epidemiology of Primary Hyperaldosteronism

>

> Riccardo Fagugli* and Chiara Taglioni

> S. C. Nefrologia e D ialisi, Azienda Ospedaliera di Perugia, S. delle

Fratte, 06129 Perugia, Italy

> *Riccardo Fagugli: Email: rmfag@...

> Academic Editor: Zafar Israili

> Received March 9, 2011; Revised May 9, 2011; Accepted June 13, 2011.

>

> Excerpt from the conclusion:

>

> " A higher prevalence up to 15–20% is highly probable in selected patients,

such as those with type 2 diabetes and refractory high blood pressure or sleep

apnea syndrome. In these populations, the study of aldosterone should be

considered as routine in the flowchart of diagnostic procedures and hypokalemia

should not be a determinant in the screening process. "

>

> Does that ake me 60% likely since I have them all? Maybe we should do a

survey of the amount of Spiro and Elper Rxed by the VA!

>

> - 65 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): 122/73

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

> Meds: Duloxetine hcl 80 MG, Mirtazapine 7.5 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

>

[Guest guest]

Well the Italians seem to finally catching on to what I have been saying since 1972. Capese?Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Dr. Grim, Have you seen this article published this year? Looks like the Italians are "picking up what you are putting down!" I thought it was a good summary of where we are and how we got here! (Will probably give a copy to my PCP and see if she has anyone with HTN who also have DM or OSA.!)

Changes in the Perceived Epidemiology of Primary Hyperaldosteronism

Riccardo Fagugli* and Chiara Taglioni

S. C. Nefrologia e D ialisi, Azienda Ospedaliera di Perugia, S. delle Fratte, 06129 Perugia, Italy

*Riccardo Fagugli: Email: rmfag@...

Academic Editor: Zafar Israili

Received March 9, 2011; Revised May 9, 2011; Accepted June 13, 2011.

Excerpt from the conclusion:

"A higher prevalence up to 15–20% is highly probable in selected patients, such as those with type 2 diabetes and refractory high blood pressure or sleep apnea syndrome. In these populations, the study of aldosterone should be considered as routine in the flowchart of diagnostic procedures and hypokalemia should not be a determinant in the screening process."

Does that ake me 60% likely since I have them all? Maybe we should do a survey of the amount of Spiro and Elper Rxed by the VA!

- 65 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): 122/73

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

Meds: Duloxetine hcl 80 MG, Mirtazapine 7.5 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG.