Hyperaldosteronism (Conn's Syndrome)

Endocrinology

Overview

Definition

Excess production of aldosterone.

Epidemiology

Varies globally. Often age and lifestyle dependent.

Etiology & Risk Factors

  • Adrenal adenoma, bilateral adrenal hyperplasia.

Clinical Symptoms

  • Resistant hypertension
  • hypokalemia
  • muscle weakness.

Clinical Approach

Diagnosis

  • Plasma Aldosterone to Renin ratio (high)
  • CT Adrenals.

Management

  • Spironolactone
  • Surgical resection (if adenoma).

Complications

  • Cardiovascular complications of severe hypertension.