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首页> 外文期刊>Current hypertension reports. >New concepts in adrenal vein sampling for aldosterone in the diagnosis of primary aldosteronism.
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New concepts in adrenal vein sampling for aldosterone in the diagnosis of primary aldosteronism.

机译：醛固酮肾上腺静脉采样的新概念在原发性醛固酮增多症的诊​​断中。

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Improved diagnostic techniques and adoption of a systematic and thorough diagnostic workup can lead to identification of the surgically correctable forms of primary aldosteronism (PA) far more frequently than expected. Adrenalectomy can provide long-term normalization of blood pressure and correction of PA in most patients with an aldosterone-producing adenoma. Forms needing surgical correction are generally held to be less common than forms requiring medical therapy; however, this can be a misconception arising from the lack of systematic use of adrenal vein sampling (AVS). Currently AVS still remains the "gold standard" for identifying unilateral causes of PA that are surgically curable. The criteria for selecting patients to undergo AVS, the technique for performing AVS, and the criteria for analyzing and interpreting its results are summarized here.
机译：改进的诊断技术和采用系统且彻底的诊断检查可以导致原发性醛固酮增多症（PA）的手术可纠正形式的识别比预期的频繁得多。肾上腺切除术可为大多数患有醛固酮的腺瘤患者提供长期的血压正常化和PA的校正。通常认为需要手术矫正的表格比需要药物治疗的表格少见。但是，这可能是由于缺乏系统地使用肾上腺静脉采样（AVS）引起的误解。目前，AVS仍然是识别可通过手术治愈的单方面PA病因的“金标准”。此处总结了选择接受AVS的患者的标准，执行AVS的技术以及分析和解释其结果的标准。

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