关于原发性醛固酮增多症诊治的常见误区

Misunderstandings in the diagnosis and treatment of primary aldosteronism

原发性醛固酮增多症(primary aldosteronism,PA)是最常见的继发性高血压之一。与原发性高血压患者相比,P A患者的心脑血管疾病和死亡风险更高,因此早期诊断、早期治疗至关重要。虽然国内外对PA的研究取得了巨大的进步,但其漏诊率、误诊率仍然很高。目前我国关于PA的诊治仍存在不少误区,导致部分PA患者未得到及时、准确的诊治。本文将根据国内外相关研究报道以及自身的临床体会就P A诊治的关键问题及误区进行讨论。

Primary aldosteronism(PA)is one of the most common secondary hypertension.Compared with patients with primary hypertension,patients with PA have a higher risk of cardiovascular diseases and death,so early diagnosis and early treatment are crucial.Although great progress on PA research has been made both at home and abroad,the rate of its misdiagnosis is still very high.At present,there are still many misunderstandings about PA in China,leading some PA patients not receiving timely and accurate diagnosis and treatment.Based on recent researches at home and abroad and our clinical experience,this article discusses some key points and misunderstandings with regards to the diagnosis and treatment of PA.