Primary aldosteronism (PA) is a common cause of secondary hypertension due to unilateral adrenocortical adenoma (APA) or idiopathic hyperplasia. There is increased awareness of the possible cardiac sequelae of aldosterone excess, including cardiac hypertrophy, fibrosis, and vascular endothelium injury.A 54-year-old woman was referred for rest and nighttime worsening dyspnea and palpitations. One year earlier she was admitted to another hospital with the same symptoms and discharged with a diagnosis of idiopathic dilated cardiomiopathy.At admission, physical examination revealed a body mass index of 21 kg/m2 and blood pressure (BP) of 210/105 mm Hg. Chest auscultation revealed mild expiratory wheezes and rales in both lower lobes. Electrocardiography showed signs of left ventricular (LV) overloading and hypertrophy.
展开▼
机译：原发性醛固酮增多症（PA）是单侧肾上腺皮质腺瘤（APA）或特发性增生引起继发性高血压的常见原因。人们越来越意识到醛固酮过量可能导致的心脏后遗症，包括心脏肥大，纤维化和血管内皮损伤。一名54岁的妇女因休息和夜间呼吸困难和心恶化而被转诊。一年前，她被收治到另一家症状相同的医院，并被诊断出患有特发性扩张型心肌病。出院时，身体检查显示其体重指数为21 kg / m2，血压（BP）为210/105 mm Hg 。胸部听诊发现两个下肺叶有轻度呼气气息和罗音。心电图检查显示左心室（LV）超负荷和肥大。
展开▼
