Guest guest Posted December 21, 2011 Report Share Posted December 21, 2011 I just got results back from renin/aldosterone test. My aldosterone was 30 (normal is below 21) and my renin was 4.0 (within normal limits(0.6-4.3). The ratio was only 7(30-50 indicates primary aldosteronism). Does this mean I have secondary aldosteronism? If so, what disorders cause this? What tests should I do next? My symptoms are very much like Conn's(low K, spells of high blood pressure, frequent urination, sweating, night sweats, weakness, dehydration, nausea, weight loss, and terrible pain under left ribs). I am so confused?? T Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2011 Report Share Posted December 21, 2011 What meds if any were you taking when blood test was done? How much salt do you think you were eatting? If you were on meds and stoped them for test how long were off them? If secondary aldosteronism is most often caused from renal artery stenosis. There other causes most are kidney related. Most of the time renin is above the normal range. > > I just got results back from renin/aldosterone test. My aldosterone was 30 (normal is below 21) and my renin was 4.0 (within normal limits(0.6-4.3). The ratio was only 7(30-50 indicates primary aldosteronism). Does this mean I have secondary aldosteronism? If so, what disorders cause this? What tests should I do next? My symptoms are very much like Conn's(low K, spells of high blood pressure, frequent urination, sweating, night sweats, weakness, dehydration, nausea, weight loss, and terrible pain under left ribs). I am so confused?? > > T > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2011 Report Share Posted December 21, 2011 What are the common imaging tests to evaluate renal artery stenosis? An angiogram of the renal arteries is the best test available to detect the degree of narrowing. This is similar to an angiogram of the heart and involves insertion of a catheter through the groin into the main artery (the aorta), that is advanced to the level of the renal arteries. A dye is injected, and x-ray images are taken to see the caliber of the blood vessel and extent of the narrowing. An angiogram is considered an invasive test (insertion of the catheter inside the body) and therefore is not widely used because of the risk of complications. This test also may not determine if narrowing is truly significant to cause the problem or not, and so it may be necessary to combine this with a functional test. Generally, a narrowing of greater than 75% by angiogram is considered significant enough to cause high blood pressure or kidney dysfunction. An additional advantage of an angiogram is that if a treatable narrowing is seen, it may be fixed at the same time via angioplasty or by placing a stent (described in more detail below). Other less invasive imaging tests are available to detect renal artery stenosis, but they are not generally as accurate as the angiogram and could potentially miss some cases of correctable disease. The most commonly used additional imaging tests are: Magnetic resonance angiography Computed tomographic angiography Duplex Doppler ultrasonography Magnetic resonance angiography (MRA) is similar to a magnetic resonance imaging (MRI). Contrast dye is injected into the blood via a vein in the arm, and pictures of the specific area of the body (in this case the renal arteries) are taken and analyzed. The accuracy (specificity and sensitivity) of this test is reasonable. This test cannot be done in patients with metal implants, pacemakers, or claustrophobia (fear of closed spaces). It may be used in people with mild to moderate, but not severe, kidney problems. Computed tomographic angiography is similar to a computed tomography (CT scan) and has reasonable accuracy. This is also done by injecting a contrast dye into the blood and taking pictures of the renal arteries. This is not recommended in people with moderate to severe kidney problems as it may make the problem worse. Doppler ultrasound is the least invasive imaging test for renal artery stenosis. It is performed similarly to a regular ultrasound by placing a probe on the abdomen to visualize the flow across the renal arteries and also to measure any narrowing. Its accuracy is similar to the other tests above, but its advantage is that it can measure the size of the narrowing as well as the flow across it. The disadvantage of this test is that it is time-consuming and may take up to a couple of hours to complete. It is also very operator-dependent, meaning that the accuracy of the result is dependent upon the expertise and experience of the ultrasound technician > > > > I just got results back from renin/aldosterone test. My aldosterone was 30 (normal is below 21) and my renin was 4.0 (within normal limits(0.6-4.3). The ratio was only 7(30-50 indicates primary aldosteronism). Does this mean I have secondary aldosteronism? If so, what disorders cause this? What tests should I do next? My symptoms are very much like Conn's(low K, spells of high blood pressure, frequent urination, sweating, night sweats, weakness, dehydration, nausea, weight loss, and terrible pain under left ribs). I am so confused?? > > > > T > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2011 Report Share Posted December 21, 2011 Do we have our whole story? We're u on ANY meds when tested? Was a 24 hr urine done at the same time ?May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension I just got results back from renin/aldosterone test. My aldosterone was 30 (normal is below 21) and my renin was 4.0 (within normal limits(0.6-4.3). The ratio was only 7(30-50 indicates primary aldosteronism). Does this mean I have secondary aldosteronism? If so, what disorders cause this? What tests should I do next? My symptoms are very much like Conn's(low K, spells of high blood pressure, frequent urination, sweating, night sweats, weakness, dehydration, nausea, weight loss, and terrible pain under left ribs). I am so confused?? T Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2011 Report Share Posted December 21, 2011 We need your story first and then be certain ur team has done a HTN physical exam. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension What are the common imaging tests to evaluate renal artery stenosis? An angiogram of the renal arteries is the best test available to detect the degree of narrowing. This is similar to an angiogram of the heart and involves insertion of a catheter through the groin into the main artery (the aorta), that is advanced to the level of the renal arteries. A dye is injected, and x-ray images are taken to see the caliber of the blood vessel and extent of the narrowing. An angiogram is considered an invasive test (insertion of the catheter inside the body) and therefore is not widely used because of the risk of complications. This test also may not determine if narrowing is truly significant to cause the problem or not, and so it may be necessary to combine this with a functional test. Generally, a narrowing of greater than 75% by angiogram is considered significant enough to cause high blood pressure or kidney dysfunction. An additional advantage of an angiogram is that if a treatable narrowing is seen, it may be fixed at the same time via angioplasty or by placing a stent (described in more detail below). Other less invasive imaging tests are available to detect renal artery stenosis, but they are not generally as accurate as the angiogram and could potentially miss some cases of correctable disease. The most commonly used additional imaging tests are: Magnetic resonance angiography Computed tomographic angiography Duplex Doppler ultrasonography Magnetic resonance angiography (MRA) is similar to a magnetic resonance imaging (MRI). Contrast dye is injected into the blood via a vein in the arm, and pictures of the specific area of the body (in this case the renal arteries) are taken and analyzed. The accuracy (specificity and sensitivity) of this test is reasonable. This test cannot be done in patients with metal implants, pacemakers, or claustrophobia (fear of closed spaces). It may be used in people with mild to moderate, but not severe, kidney problems. Computed tomographic angiography is similar to a computed tomography (CT scan) and has reasonable accuracy. This is also done by injecting a contrast dye into the blood and taking pictures of the renal arteries. This is not recommended in people with moderate to severe kidney problems as it may make the problem worse. Doppler ultrasound is the least invasive imaging test for renal artery stenosis. It is performed similarly to a regular ultrasound by placing a probe on the abdomen to visualize the flow across the renal arteries and also to measure any narrowing. Its accuracy is similar to the other tests above, but its advantage is that it can measure the size of the narrowing as well as the flow across it. The disadvantage of this test is that it is time-consuming and may take up to a couple of hours to complete. It is also very operator-dependent, meaning that the accuracy of the result is dependent upon the expertise and experience of the ultrasound technician > > > > I just got results back from renin/aldosterone test. My aldosterone was 30 (normal is below 21) and my renin was 4.0 (within normal limits(0.6-4.3). The ratio was only 7(30-50 indicates primary aldosteronism). Does this mean I have secondary aldosteronism? If so, what disorders cause this? What tests should I do next? My symptoms are very much like Conn's(low K, spells of high blood pressure, frequent urination, sweating, night sweats, weakness, dehydration, nausea, weight loss, and terrible pain under left ribs). I am so confused?? > > > > T > > > Quote Link to comment Share on other sites More sharing options...
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