Diagnosis Analysis of Primary Aldosteronism

Author:QIN Feng-yi

affiliation: Internal Medicine, Huangpu Red Cross Hospital of Guangzhou, Guangzhou 510760,Guangdong Province, China

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Abstract

Objective To investigate the diagnosis of primary aldosteronism. Methods A retrospective analysis of 42 patients’ clinical data in our hospital from August 2012 to October 2015, which were confirmed as primary aldehyde steroids increase by pathological. Clinical data statistics in patients with plasma aldosterone (PAC) and renin ratio (ARR) and plasma aldosterone index for clinical diagnosis rate and the diagnosis coincidence rate, positive rate. Results Female patients with primary aldehyde steroids increase their potassium levels lower than men, the difference was statistically significant (P<0.05). When ARR is higher than 30, primary aldosteronism detection rate in ARR> 30 and PAC> 415pmol / L, the difference statistically significant (P<0.05). Conclusion By monitoring changes in patients with suspected PA value, when the ARR is higher than 30, primary aldosteronism detection rate of 83.33%, higher than the detection rate of other clinical indicators, it is worthy of wider application.

【Keyword】Primary Aldosteronism; Diagnosis; Treatment

【Chart number】552

【Document Identification Number】A

【DOI】10.3969/j.issn.1009-3257.2016.03.013