Taipei Medical University Institutional Repository:Item 987654321/65309
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    题名: Characteristics and Outcomes in Primary Aldosteronism Patients Harboring Glucocorticoid-Remediable Aldosteronism
    作者: 鄭仲益
    Chung-Yi Cheng, Hung-Wei Liao, Kang-Yung Peng, Tso-Hsiao Chen, Yen-Hung Lin, Jeff S. Chueh, Vin-Cent Wu and on behalf of the TAIPAI Study Group
    贡献者: 醫學系內科學科腎臟內科
    关键词: Keywords: glucocorticoid-remediable aldosteronism;hypokalemia;plasma renin activity;adrenalectomy
    日期: 2021-12
    Issue Date: 2025-03-31 09:14:00 (UTC+8)
    Abstract: Abstract
    The clinical characteristics and surgical prognosis of glucocorticoid-remediable aldosteronism (GRA, also known as familial hyperaldosteronism type 1, FH-I) have not been widely studied. Using data from the Taiwan Primary Aldosteronism Investigation (TAIPAI) registry retrospectively, we describe the associated clinical factors for GRA and clinical predictors of surgical outcomes among identified GRA patients. We found 79 GRA-positive (51.2 ± 13.8 years; women 39 (49.4%)) and 114 GRA-negative primary aldosteronism (PA) patients matched with age, gender, and body mass index. Lower plasma aldosterone concentrations (PACs) and aldosterone-renin ratios were found among GRA-positive individuals. Multivariable logistic regression demonstrated that a PAC ? 40 ng/dL could predict concealed GRA individuals (OR 0.523, p = 0.037). Low serum potassium (OR 0.285, p = 0.008), but not the presence of GRA, was associated with hypertension-remission. Of note, PRA (OR 11.645, p = 0.045) and hypokalemia (OR 0.133, p = 0.048) were associated with hypertension-remission in GRA patients. Unilateral primary aldosteronism patients harboring concomitant GRA were not associated with inferior hypertension-remission after an adrenalectomy. Low serum potassium and high PRA were positively associated with hypertension-remission in GRA patients.
    Relation: Biomedicines 2021, 9(12), 1816
    Description: 【111-1 升等】臺北醫學大學教師升等專門著作
    職別:專任教師
    送審等級:副教授
    著作送審
    Data Type: article
    Appears in Collections:[教師升等送審著作] 111

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