Hyperaldosteronism 2025 guidelines
Hyperaldosteronism 2025 guidelines Modest, Geoffrey (HMFP - Medicine) Modest, Geoffrey (HMFP - Medicine) a recent clinical practice guideline for primary aldosteronism was just published by the Endocrine Society: see aldosteronism practice guideline JClinEndoMetab2025 in dropbox, or doi.org/10.1210/clinem/dgaf284). this is a 43 page document, so i will present their major recommendations applicable to the primary care outpatient setting, with my commentary (thanks to Ian Huntington for bringing this to my attention) Recommendations -- All patients with hypertension should be screened for primary aldosteronism (PA) by measuring aldosterone and renin levels, and determining the aldosterone-to-renin ratio -- very little direct data supporting this (only one large retrospective VA study), finding that very few people were screened for PA (1.6%) -- international studies in Canada, Australia and several E...