Perioperative management of patients with primary aldosteronism: a practical approach for the endocrinologist
Abstract
Primary aldosteronism (PA) is the most common endocrine cause of secondary hypertension yet remains significantly underdiagnosed. Early recognition is essential, as excess aldosterone leads to substantial cardiovascular and renal morbidity. Approximately one-third of patients have unilateral disease, in whom adrenalectomy is associated with superior long-term clinical outcomes compared with medical therapy. Although current guidelines offer detailed recommendations for diagnosis and subtype classification, guidance on perioperative management remains limited. Preoperative goals should include optimizing blood pressure to
Fields of Study & Subjects
Hormonal Regulation and Hypertension
Adrenal Hormones and Disorders
Adrenal and Paraganglionic Tumors
Publication details
- Journal / source
- Endocrine Connections
- Publisher
- Bioscientifica
- Volume
- 15
- Issue
- 6
- Publication date
- 1 June 2026
- Language
- EN