Standardized diagnosis and treatment of primary aldosteronism from a surgeon's perspective / 中华泌尿外科杂志

ABSTRACT

Primary aldosteronism (PA) is a subtype of adrenal diseases in urological department,which is the most common cause of secondary hypertension.In recent years,great improvements and achievements have been made in the field of diagnosis and treatment of adrenal hypertension in China,however,there are some insufficiencies in the process of screening,diagnosis,function diagnosis and treatment.Because of the disease complexity and different levels of health care among China,it's necessary for urological doctors to learn about the standarization of diagnosis and treatment of PA.This review gives emphasize on the common problems during the process of diagnosis and treatment of PA.We highlight the principle in standarization of diagnosis and treatment of PA by discussing epidemiology,screening,multidisciplinary team building,adrenal venous sampling and treatment strategy,hoping to improve clinical practice of adrenal hypertension in China.