原发性醛固酮增多症
医学
醛固酮
醛固酮增多症
肾上腺切除术
继发性高血压
内科学
血压
心肌梗塞
心脏病学
泌尿科
外科
作者
Cai‐Guo Yu,Bin Cao,Huiming Gong,Jing Ke,Shaozhong Xian,Nannan Wu,Dong Zhao
摘要
Abstract The authors report a case of primary aldosteronism (PA) with postoperative elevation of aldosterone treated effectively by finerenone. The patient was a hypertensive man with a 30‐year history of hypertension and sustained an acute myocardial infarction 5 years ago. Bilateral adrenal nodules with hyperplasia were detected and PA was confirmed. His blood potassium, direct renin concentration, and aldosterone level returned to normal after surgery of right adrenalectomy. However, 1 year after surgery, he experienced a decrease in blood potassium and an increase in aldosterone. A saline infusion test revealed an aldosterone level of 124.47 pg/mL. The patient consented to treatment with finerenone. His aldosterone and potassium levels and blood pressure have been controlled well during follow‐up. This case highlights the need to screen for secondary hypertension as early as possible. Finerenone may be effective for patients with PA who are not candidates for surgery and those not relieved after surgery.
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