{"id":699,"date":"2018-11-17T20:34:07","date_gmt":"2018-11-17T20:34:07","guid":{"rendered":"https:\/\/anesthesia-online.com\/2023\/?p=699"},"modified":"2018-11-17T21:22:29","modified_gmt":"2018-11-17T21:22:29","slug":"hiperaldosteronismo-primario-sospecha-preoperatoria","status":"publish","type":"post","link":"https:\/\/anesthesia-online.com\/2023\/2018\/11\/17\/hiperaldosteronismo-primario-sospecha-preoperatoria\/","title":{"rendered":"Hiperaldosteronismo primario, sospecha preoperatoria"},"content":{"rendered":"

Realizamos la valoraci\u00f3n preoperatoria de un paciente hipertenso que va a ser intervenido de una coxartrosis. Sospecharemos un hiperaldosteronismo primario en todas menos una de las siguientes situaciones: <\/strong><\/p>\n

a. HTA controlada con un tratamiento con tres o m\u00e1s f\u00e1rmacos antihipertensivos
\nb. HTA e hipopotasemia espont\u00e1nea
\nc. HTA y apnea del sue\u00f1o
\nd. HTA y antecedentes familiares de accidente cerebrovascular a una edad temprana (< 40 a\u00f1os)
\ne. HTA y familiar de primer grado de paciente con hiperaldosteronismo primario.<\/p>\n

\n

Respuesta<\/strong><\/a><\/p>\n

\n

Lectura recomendada<\/strong><\/p>\n

    \n
  1. Brenner Y Rector. El ri\u00f1on. Cap\u00edtulo 47. Elsevier Espa\u00f1a; 10\u00aaEdici\u00f3n (febrero de 2018)<\/a><\/li>\n
  2. Monticone S, Burrello J, Tizzani D, Bertello C, Viola A, Buffolo F, et al. Prevalence and Clinical Manifestations of Primary Aldosteronism Encountered in Primary Care Practice. J Am Coll Cardiol. 2017;69(14):1811-20.<\/li>\n
  3. Funder JW, Carey RM, Mantero F, Murad MH, Reincke M, Hirotaka H, et al. The Management of Primary Aldosteronism: Case Detection, Diagnosis, and Treatment: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2016;105(5):1889-916.<\/li>\n
  4. Milliez P, Girerd X, Plouin PF, Blacher J, Safar ME, Mourad JJ. Evidence for an increased rate of cardiovascular events in patients with primary aldosteronism. J Am Coll Cardiol. 2005;45(8):1243-8.<\/li>\n
  5. Nieman LK. Approach to the patient with an adrenal incidentaloma. J Clin Endocrinol Metab. 2010;95(9):4106-13.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    Realizamos la valoraci\u00f3n preoperatoria de un paciente hipertenso que va a ser intervenido de una coxartrosis. Sospecharemos un hiperaldosteronismo primario en todas menos una de las siguientes situaciones: a. HTA…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"footnotes":"","_jetpack_memberships_contains_paid_content":false,"jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[4],"tags":[],"jetpack_publicize_connections":[],"yoast_head":"\nHiperaldosteronismo primario, sospecha preoperatoria - Medicina perioperatoria<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/anesthesia-online.com\/2023\/2018\/11\/17\/hiperaldosteronismo-primario-sospecha-preoperatoria\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hiperaldosteronismo primario, sospecha preoperatoria - Medicina perioperatoria\" \/>\n<meta property=\"og:description\" content=\"Realizamos la valoraci\u00f3n preoperatoria de un paciente hipertenso que va a ser intervenido de una coxartrosis. 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