Is primary hyperaldosteronism a risk factor for aortic dissection?

Cardiology. 2007;108(1):48-50. doi: 10.1159/000095787. Epub 2006 Sep 19.

Abstract

Primary hyperaldosteronism is a rare (<1%) and underdiagnosed cause of secondary hypertension. We present a case of aortic dissection in a patient with primary hyperaldosteronism. To our knowledge, there are six other reported cases of aortic dissection in patients with primary hyperaldosteronism. Our case strengthens the hypothesis that primary hyperaldosteronism is a potential independent risk factor for aortic dissection.

Publication types

  • Case Reports

MeSH terms

  • Antihypertensive Agents / therapeutic use
  • Aortic Aneurysm, Thoracic / complications*
  • Aortic Aneurysm, Thoracic / diagnosis*
  • Aortic Dissection / complications*
  • Aortic Dissection / diagnosis*
  • Aortography
  • Cardiac Catheterization
  • Echocardiography, Transesophageal
  • Follow-Up Studies
  • Humans
  • Hyperaldosteronism / complications*
  • Hyperaldosteronism / diagnosis
  • Hyperaldosteronism / drug therapy
  • Hypertension / complications
  • Hypertension / diagnosis
  • Hypertension / drug therapy
  • Incidental Findings
  • Male
  • Middle Aged
  • Risk Assessment
  • Severity of Illness Index
  • Spironolactone / therapeutic use

Substances

  • Antihypertensive Agents
  • Spironolactone