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原发性醛固酮增多症(primary aldosteronism,PA)是一种异质性疾病,以高血压和相对自主于肾素血管紧张素系统产生过量醛固酮为特征。与心血管病风险相似的原发性高血压患者相比,PA患者发生心脑血管并发症的风险以及代谢综合征患病率增加,提示正确诊断PA的重要性。根据内分泌协会指南,PA的诊断包括筛查、确诊试验和亚型区分3个过程~([1])。后者对于区分2种最常见的PA亚型单侧醛固酮腺瘤
Primary aldosteronism (PA) is a heterogeneous disease characterized by hypertension and relative autonomic excess of aldosterone on the renin-angiotensin system. The risk of cardiovascular and cerebrovascular complications in patients with PA and the increased prevalence of metabolic syndrome in PA patients with similar risk of cardiovascular disease suggest the importance of correctly diagnosing PA. According to the guidelines of the Society of Endocrinology, the diagnosis of PA includes screening, confirmatory tests, and subtyping to distinguish between the three processes ~ ([1]). The latter is to distinguish the two most common PA subtypes of unilateral aldosterone adenoma