primary aldosteronism primary hyperaldosteronism
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: For patients with primary hyperaldosteronism: -Age 18-75 years -Confirmed primary hyperaldosteronism (aldosterone >0.28 nmol/L after salt loading) -Serum potassium >= 3.5 mmol/L (with or without potassium supplementation) -Written informed consent;For control patients with primary (essential) hypertension: - Age 18-75 years - Primary hypertension - Baseline aldosterone = 3.5 mmol/L - Written informed consent
Exclusion criteria
Exclusion criteria: -Smoking -History of atherosclerotic disease (myocardial infarction (MI), stroke, or peripheral vascular disease) -Not possible to change the antihypertensive medication into only diltiazem with or without hydralazine, or to temporarily stop statins according to the treating physician -Severe renal dysfunction (MDRD
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To study whether forearm IR impairs brachial artery FMD to a greater extent in patients with hypertension due to PHA than in patients with primary hypertension. | — |
Secondary
| Measure | Time frame |
|---|---|
| To study whether CD73 activity on mononuclear cells is lower in patients with PHA, compared to patients with primary hypertension To study whether the circulating adenosine concentration in lower in patients with PHA | — |
Countries
Netherlands