新鲜的所有意思是什么:顽固性高血压患者中原发性醛固酮增多症的患病率：一项回顾性观察研究

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顽固性高血压患者中原发性醛固酮增多症的患病率：一项回顾性观察研究

Prevalence of primary hyperaldosteronism in resistant hypertension: a retrospective observational study Douma S, Petidis K, Doumas M | 2009/5/31 18:19:25 | Lancet | 2008 | View at Publisher 专家评级： ★ | 循证评级： B | 【全球专家评论】 | 打印| 推荐给好友上一篇：肾素－血管紧张素系统阻断治疗以及较低的血压控制目标对非裔美国黑人高血压导致的慢性肾病进展的长期影响下一篇：顽固性高血压：诊断、评估及治疗：来自美国心脏协会职业教育委员会高血压研究顾问委员会的一项学术声明 Background:
Results of several studies published since 1999 suggest that primary hyperaldosteronism (also known as Conn's syndrome) affects more than 10% of people with hypertension; however, such a high prevalence has also been disputed. Experts generally agree that resistant hypertension has the highest prevalence of primary hyperaldosteronism, on the basis of small studies. We aimed to assess the prevalence of primary hyperaldosteronism in a large group of patients with resistant hypertension.

Methods:
Patients with resistant hypertension (blood pressure >140/90mmHg despite a three drug regimen, including a diuretic) who attended our outpatient clinic were assessed for primary hyperaldosteronism. Serum aldosterone and plasma renin activity were determined and their ratio was calculated. Patients with a positive test (ratio >65·16 and aldosterone concentrations >416pmol/L) underwent salt suppression tests with intravenous saline and fludrocortisone. Diagnosis of primary hyperaldosteronism was further confirmed by the response to treatment with spironolactone.

原发性醛固酮增多症原发性血小板增多症，有中医治疗的办法吗关于原发性血小板增多症求助原发性血小板增多症的治疗方法及饮食注意问题对于原发性的顽固性高血压有什么有效的药物可以抑制. 有原发性血小板增多症可以吃蜂皇浆冻干粉或蜂胶吗 ”原发性醛古酮增多症”武汉和上海哪个教授比较厉害？高血压患者平日里的生活中怎样饮食顽固性呃逆的治疗顽固性房颤的治疗原发性醛固酮多发症病因以及治疗方法高血压患者的饮食治疗一个高血压患者的求助原发性血小板减少的治疗艾滋病是原发性的吗？光合作用中，遮光一段时间c3的含量增多还是c5增多谁有去顽固性头皮屑的方法？顽固性逆嗝的治疗顽固性荨麻疹的有效治疗？如何治疗顽固性的头痛白细胞增多症是怎么引起的？？？？白细胞增多症是怎么引起的？？？？脑出血与红细胞增多症的区别如何写高血压患者的教育计划