1. Rates of abnormal aldosterone/renin ratio in African-origin compared to European-origin patients: A retrospective study
- Author
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Lucy Ann Behan, Sorresa Abadi, Delia Bogdanet, Gerald Boran, Mark Sherlock, James Gibney, Khalid Mohamed Saeed Ahmed, Conor Woods, and Rosemary Dineen
- Subjects
Adult ,Male ,Aldosterone renin ,medicine.medical_specialty ,Endocrinology, Diabetes and Metabolism ,Hypokalemia ,030209 endocrinology & metabolism ,Gastroenterology ,African origin ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Endocrinology ,Internal medicine ,Hyperaldosteronism ,Renin ,Renin–angiotensin system ,Humans ,Medicine ,Adrenal adenoma ,Aldosterone ,Retrospective Studies ,business.industry ,Retrospective cohort study ,Hyperplasia ,medicine.disease ,chemistry ,Echocardiography ,030220 oncology & carcinogenesis ,Africa ,Hypertension ,Female ,business - Abstract
INTRODUCTION The aldosterone/renin ratio is the initial screening test for primary hyperaldosteronism (PHA), but little data exists regarding ethnic variations in this. METHODS Following clinical observation of a high prevalence of abnormal aldosterone/renin ratio (ARR) in patients of African-origin, we retrospectively reviewed all ARR measurements in a single centre over 10 years. Rates of hypokalaemia, intraventricular septal thickness (IVS, by echocardiography) and adrenal imaging were recorded when available. RESULTS Aldosterone/renin ratio was available in 1473 patients, and abnormal in 374 (25.4%). Abnormal ARR was observed in 305/1349 (22.6%) of European-origin and 69/124 (55.6%) of African-origin patients (P
- Published
- 2019
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