Japan Endocrine Society clinical practice guideline for the diagnosis and management of primary aldosteronism 2021

Endocrine journal

article

Mitsuhide Naruse¹  Takuyuki Katabami³  Hirotaka Shibata⁴  Masakatsu Sone⁵  Katsutoshi Takahashi⁶  Akiyo Tanabe⁷  Shoichiro Izawa⁸  Takamasa Ichijo⁹  Michio Otsuki^1,10  Masao Omura^1,11  Yoshihiro Ogawa^1,12  Yutaka Oki^1,14  Isao Kurihara^1,15  Hiroki Kobayashi^1,17  Ryuichi Sakamoto^1,13  Fumitoshi Satoh^1,18  Yoshiyu Takeda^1,19  Tomoaki Tanaka^2,20  Kouichi Tamura^2,21  Mika Tsuiki^2,22  Shigeatsu Hashimoto^2,23  Tomonobu Hasegawa^2,24  Takanobu Yoshimoto^2,25  Takashi Yoneda^2,26  Koichi Yamamoto^2,27  Hiromi Rakugi^2,27  Norio Wada^2,28  Aya Saiki^2,29  Youichi Ohno^3,30  Tatsuya Haze^2,21 

[1] Endocrine Center and Clinical Research Center, Ijinkai Takeda General Hospital;Clinical Research Institute of Endocrinology and Metabolism, National Hospital Organization Kyoto Medical Center;Division of Metabolism and Endocrinology, Department of Internal Medicine, St. Marianna University, Yokohama City Seibu Hospital;Department of Endocrinology, Metabolism, Rheumatology and Nephrology, Faculty of Medicine, Oita University;Division of Metabolism and Endocrinology, Department of Internal Medicine, St. Marianna University;Division of Metabolism, Showa General Hospital;Department of Diabetes, Endocrinology and Metabolism, National Center for Global Health and Medicine;Division of Endocrinology and Metabolism, Tottori University Faculty of Medicine;Department of Diabetes and Endocrinology, Saiseikai Yokohamashi Tobu Hospital;Department of Endocrinology, Tokyo Women’s Medical University;Minato Mirai Medical Square;Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University;Department of Endocrine and Metabolic Diseases/Diabetes Mellitus, Kyushu University Hospital;Department of Metabolism and Endocrinology, Hamamatsu Kita Hospital;Department of Medical Education, National Defense Medical College;Department of Endocrinology, Metabolism and Nephrology, Keio University School of Medicine;Division of Nephrology, Hypertension and Endocrinology, Nihon University School of Medicine;Division of Clinical Hypertension, Endocrinology and Metabolism, Tohoku University Graduate School of Medicine;Department of Endocrinology and Metabolism, Kanazawa University Hospital;Department of Molecular Diagnosis, Chiba University;Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine;Department of Endocrinology and Metabolism, National Hospital Organization Kyoto Medical Center;Department of Endocrinology, Metabolism, Diabetology and Nephrology, Fukushima Medical University Aizu Medical Center;Department of Pediatrics, Keio University School of Medicine;Department of Diabetes and Endocrinology, Tokyo Metropolitan Hiroo Hospital;Department of Health Promotion and Medicine of the Future, Graduate School of Medical Sciences, Kanazawa University;Department of Geriatric and General Medicine, Osaka University Graduate School of Medicine;Department of Diabetes and Endocrinology, Sapporo City General Hospital;Department of Metabolic Medicine, Osaka University Graduate School of Medicine;Department of Diabetes, Endocrinology and Nutrition, Kyoto University Graduate School of Medicine;Department of Nephrology and Hypertension, Yokohama City University Medical Center

关键词: Primary aldosteronism;    Guideline;    Screening;    Confirmatory test;    Adrenal venous sampling;   

DOI  :  10.1507/endocrj.EJ21-0508

学科分类：内分泌与代谢学

来源: Japan Endocrine Society

【 摘 要 】

4 after adrenocorticotropic hormone stimulation defines successful catheterization and unilateral subtype diagnosis. We recommend adrenalectomy for unilateral PA and mineralocorticoid receptor antagonists for bilateral PA. Systematic as well as individualized clinical practice is always warranted. This JES guideline 2021 provides updated rational evidence and recommendations for the clinical practice of PA, leading to improved quality of the clinical practice of hypertension.

【 授权许可】

Unknown