原发性醛固酮增多症筛查中血浆醛固酮/肾素活性比值的影响因素

被引：13

作者：

鄞国书

张少玲

严励

程桦

机构：

[1] 中山大学附属第二医院内分泌科

来源：

中华内分泌代谢杂志 | 2009年 / 02期

基金：

国家科技攻关计划;

关键词：

原发性醛固酮增多症; 醛固酮; 肾素; 肾素-血管紧张素Ⅱ-醛固酮系统;

D O I：

暂无

中图分类号：

R586.24 [];

学科分类号：

摘要：

血浆醛固酮水平/肾素活性比值(ARR)是筛查原发性醛固酮增多症的实用指标。由于影响肾素和醛固酮分泌的因素众多,ARR切点值变异范围较大,至今仍然是一个缺乏标准化的指标。本文综述这些因素,旨在临床上提高ARR的诊断效力。

引用

共 15 条

[1]

原发性醛固酮症的发现及对此综合征的筛查 [J].

陈家伦 .

中华内分泌代谢杂志, 2006, (05) :407-410

[2]

A prospective study of the prevalence of primary aldosteronism in 1,125 hypertensive patients [J].

Rossi, Gian Paolo ;

Bernini, Giampaolo ;

Caliumi, Chiara ;

Desideri, Giovambattista ;

Fabris, Bruno ;

Ferri, Claudio ;

Ganzaroli, Chiara ;

Giacchetti, Gilberta ;

Letizia, Claudio ;

Maccario, Mauro ;

Mallamaci, Francesca ;

Mannelli, Massimo ;

Mattarello, Mee-Jung ;

Moretti, Angelica ;

Palumbo, Gaetana ;

Parenti, Gabriele ;

Porteri, Enzo ;

Semplicini, Andrea ;

Rizzoni, Damiano ;

Rossi, Ermanno ;

Boscaro, Marco ;

Pessina, Achille Cesare ;

Mantero, Franco .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2006, 48 (11) :2293-2300

[3]

Diagnosis of primary aldosteronism: from screening to subtype differentiation [J].

Mulatero, P ;

Dluhy, RG ;

Giacchetti, G ;

Boscaro, M ;

Veglio, F ;

Stewart, PM .

TRENDS IN ENDOCRINOLOGY AND METABOLISM, 2005, 16 (03) :114-119

[4]

Effects of circadian rhythms, posture, and medication on renin-aldosterone interrelations in essential hypertensives [J].

Lamarre-Cliche, M ;

de Champlain, L ;

Lacourcière, Y ;

Poirier, L ;

Karas, M ;

Larochelle, P .

AMERICAN JOURNAL OF HYPERTENSION, 2005, 18 (01) :56-64

[5]

The use of aldosterone-renin ratio as a diagnostic test for primary hyperaldosteronism and its test characteristics under different conditions of blood sampling [J].

Tiu, SC ;

Choi, CH ;

Shek, CC ;

Ng, YW ;

Chan, FKW ;

Ng, CM ;

Kong, APS .

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2005, 90 (01) :72-78

[6]

Active renin versus plasma renin activity to define aldosterone-to-renin ratio for primary aldosteronism [J].

Ferrari, P ;

Shaw, SG ;

Nicod, J ;

Saner, E ;

Nussberger, J .

JOURNAL OF HYPERTENSION, 2004, 22 (02) :377-381

[7]

Increased Diagnosis of Primary Aldosteronism; Including Surgically Correctable Forms; in Centers from Five Continents.[J].Paolo Mulatero;Michael Stowasser;Keh-Chuan Loh;Carlos E. Fardella;Richard D. Gordon;Lorena Mosso;Celso E. Gomez-Sanchez;Franco Veglio;William F. Young.The Journal of Clinical Endocrinology & Metabolism.2004, 3

[8]

Primary aldosteronism and hypertensive disease [J].