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Diagnostic Imaging Pathways - Primary Hyperaldosteronism

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Teaching Points

  • Indications for Screening of suspected Hyperaldosteronism -
    • Hypokalaemic hypertension
    • Refractory hypertension
    • Presence of an incidentally detected adrenal mass
    • Family history of hypertension
  • Biochemical confirmation of Primary Hyperaldosteronism must be confirmed prior to imaging
  • CT of the adrenals is the initial imaging modality for localisation of biochemically proven Primary Hyperaldosteronism
  • Adrenal Vein Sampling should be undertaken to assess for a surgical remedial cause of Primary Hyperaldosteronism

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