scholarly journals Left Ventricular Hypertrophy Is More Prominent in Patients with Primary Aldosteronism than in Patients with Other Types of Secondary Hypertension.

1997 ◽  
Vol 20 (2) ◽  
pp. 85-90 ◽  
Author(s):  
Akiyo Tanabe ◽  
Mitsuhide Naruse ◽  
Kiyoko Naruse ◽  
Mitsuyasu Hase ◽  
Takanobu Yoshimoto ◽  
...  
2013 ◽  
Vol 168 (3) ◽  
pp. 3143-3144 ◽  
Author(s):  
Satoshi Kurisu ◽  
Takashi Shimonaga ◽  
Toshitaka Iwasaki ◽  
Naoya Mitsuba ◽  
Ken Ishibashi ◽  
...  

2021 ◽  
Author(s):  
Anton Köhler ◽  
Anna-Lina Sarkis ◽  
Daniel Alexander Heinrich ◽  
Lisa Müller ◽  
Laura Handgriff ◽  
...  

Context: Primary aldosteronism (PA) causes left ventricular hypertrophy (LVH) via hemodynamic factors and directly by aldosterone effects. Specific treatment by mineralocorticoid receptor antagonists (MRA) or adrenalectomy (ADX) has been reported to improve LVH. However, cardiovascular benefit could depend on plasma renin concentration (PRC) in patients on MRA. Patients and Objective: We analyzed data from 184 patients from the Munich center of the German Conn’s Registry, who underwent echocardiography at time of diagnosis and one year after treatment. To assess the effect of PRC on cardiac recovery we stratified patients on MRA according to suppression (n=46) or non-suppression of PRC (n=59) at follow-up and compared them to PA patients after ADX (n=79). Results: At baseline, patients treated by ADX or MRA had comparable left ventricular mass index (LVMI, 61.7 vs 58.9 g/m2.7, p= 0.591). Likewise, patients on MRA had similar LVMI at baseline, when stratified into treatment groups with suppressed and unsuppressed PRC during follow-up (60.0 vs 58.1 g/m2.7, p= 0.576). In all three groups we observed a significant reduction in LVMI following treatment (p<0.001). However, patients with suppressed PRC had no decrease in pro-BNP levels and the reduction of LVMI was less intense than in patients with unsuppressed PRC (4.1 vs 8.2 g/m2.7, p= 0.033) or after ADX (9.3 g/m2.7, p= 0.019). Similarly, in multivariate analysis, higher PRC was correlated with the regression of LVH. Conclusion: PA patients with suppressed PRC on MRA show impaired regression of LVH. Therefore, dosing of MRA according to PRC, could improve their cardiovascular benefit.


Hypertension ◽  
2013 ◽  
Vol 62 (1) ◽  
pp. 62-69 ◽  
Author(s):  
Gian Paolo Rossi ◽  
Maurizio Cesari ◽  
Cesare Cuspidi ◽  
Giuseppe Maiolino ◽  
Maria Verena Cicala ◽  
...  

2011 ◽  
Vol 152 (3) ◽  
pp. 380-381 ◽  
Author(s):  
Yasuko Kato ◽  
Satoshi Kurisu ◽  
Naoya Mitsuba ◽  
Ken Ishibashi ◽  
Yoshihiro Dohi ◽  
...  

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Cesare Cuspidi ◽  
Marijana Tadic ◽  
Carla Sala ◽  
Fosca Quarti-Trevano ◽  
Elisa Gherbesi ◽  
...  

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