We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Syncope as a Manifestation of Primary Aldosteronism

Shumpei Okubo, MD; Kazumasa Hiejima, MD; Shutaro Satake, MD; Yasuki Sakamoto, MD
Arch Intern Med. 1977;137(9):1260. doi:10.1001/archinte.1977.03630210126038.
Text Size: A A A
Published online


To the Editor.—  We recently encountered a case of primary aldosteronism in which the patient had syncopal attacks, the cause of which was attributable to ventricular tachyarrythmia that was due to hypopotassemia.

Report of a Case.—  A 27-year-old woman was admitted to Tokyo Medical and Dental University Hospital in September 1975 because of syncopal attacks. She had experienced the first attack four years ago. Two years later the second attack occurred and an arrhythmia was detected. Immediately before admission, the third attack of about five minutes' duration accompanied by tonic seizures occurred when she was awakened by the telephone.On admission her blood pressure was 210/110 mm Hg. An ECG showed ventricular tachyarrythmia (Figure). The ECG findings recorded during sinus rhythm were consistent with hypopotassemia (2.8 mEq/liter).Primary aldosteronism was diagnosed from the following data: potassium clearance rate with sodium thiosulfate loading, 54.5 ml/min (normal, 18.1 ± 2.0 ml/min); decreased


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.