Could Your High Blood Pressure Be Caused by Primary Aldosteronism?
Published: Jun 21, 2024
Primary aldosteronism is a sneaky cause of high blood pressure that's often overlooked. Understanding its subtypes and treatment can make a big difference in managing your health.
Contents
Understanding Primary Aldosteronism
Primary aldosteronism is a condition where the adrenal glands produce too much aldosterone, a hormone that helps control blood pressure. This excess can lead to hypertension and low potassium levels, although potassium levels can often appear normal. It contributes to about 10% of all hypertension cases, yet remains underdiagnosed.
Subtypes of Primary Aldosteronism
The condition has several subtypes, including bilateral idiopathic hyperaldosteronism, unilateral aldosterone-producing adenoma, and primary adrenal hyperplasia. These subtypes differ in their causes and require different treatment approaches. Proper diagnosis of the subtype is crucial for effective treatment.

Health Risks and Complications
Excess aldosterone can lead to severe health issues like cardiovascular damage, kidney toxicity, and increased risk of heart events. Addressing these risks through appropriate treatment can significantly reduce potential complications. Both unilateral and bilateral forms of the condition share these risks.
Frequently Asked Questions
A condition where excess aldosterone causes high blood pressure.
It accounts for about 10% of hypertension cases.
Increased heart and kidney damage risk.
They include bilateral hyperaldosteronism and aldosterone-producing adenomas.
The Big Picture
Understanding and diagnosing primary aldosteronism can significantly improve health outcomes.
References
- Young WF Jr. Diagnosis and treatment of primary aldosteronism: practical clinical perspectives. J Intern Med 2019; 285:126.
- Vaidya A, Brown JM, Carey RM, et al. The Unrecognized Prevalence of Primary Aldosteronism. Ann Intern Med 2020; 173:683.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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