Document Detail


The prevalence of metabolic syndrome and its components in two main types of primary aldosteronism.
MedLine Citation:
PMID:  20574447     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Metabolic syndrome (MS) is frequent clinical condition in patients with hypertension. Primary aldosteronism (PA) is a common form of secondary hypertension. This study was aimed at investigating the prevalence of the MS and its components in the two major forms of PA, in unilateral aldosterone-producing adenoma (APA) and bilateral aldosterone overproduction because of idiopathic hyperaldosteronism (IHA). The diagnosis of the particular form of PA was based on adrenal venous sampling and/or successful surgery confirmed by histopathological examination. We analyzed clinical and laboratory data from 100 patients with PA (50 patients with IHA and 50 patients with APA) and from 90 patients with essential hypertension (EH). Metabolic profiles of patients with bilateral form of PA (because of IHA) were similar to EH, but differed from those in patients with unilateral form of PA (APA). The prevalence of the MS (62% in IHA, 34% in APA and 56% in EH), the body mass index value (30±4 kg m(-2) in IHA, 27±5 kg m(-2) in APA and 29±5 kg m(-2) in EH) and triglycerides levels (1.9±0.9 mmol l(-1) in IHA,1.4±0.8 mmol l(-1) in APA and 2.01±1.39 mmol l(-1) in EH) were all significantly (P<0.05) higher in IHA compared with APA patients. Metabolic profile of patients with bilateral form of PA (because of IHA) is similar to EH in contrast to unilateral form of PA (APA).
Authors:
Z Somlóová; J Widimský; J Rosa; D Wichterle; B Strauch; O Petrák; T Zelinka; J Vlková; M Masek; J Dvoráková; R Holaj
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-06-24
Journal Detail:
Title:  Journal of human hypertension     Volume:  24     ISSN:  1476-5527     ISO Abbreviation:  J Hum Hypertens     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-16     Completed Date:  2011-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8811625     Medline TA:  J Hum Hypertens     Country:  England    
Other Details:
Languages:  eng     Pagination:  625-30     Citation Subset:  IM    
Affiliation:
Third Department of Internal Medicine--Center for Hypertension, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic. zsomloova@seznam.cz
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MeSH Terms
Descriptor/Qualifier:
Adenoma / blood,  diagnosis,  epidemiology*
Adrenal Gland Neoplasms / blood,  diagnosis,  epidemiology*
Adult
Aldosterone / blood
Biological Markers / blood
Blood Pressure
Body Mass Index
Czech Republic / epidemiology
Female
Humans
Hyperaldosteronism / blood,  diagnosis,  epidemiology*,  physiopathology
Hyperlipidemias / blood,  diagnosis,  epidemiology*,  physiopathology
Hypertension / blood,  diagnosis,  epidemiology*,  physiopathology
Male
Metabolic Syndrome X / blood,  diagnosis,  epidemiology*
Middle Aged
Prevalence
Retrospective Studies
Risk Assessment
Risk Factors
Triglycerides / blood
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Triglycerides; 52-39-1/Aldosterone
Comments/Corrections
Comment In:
J Hum Hypertens. 2010 Oct;24(10):623-4   [PMID:  20631739 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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