0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
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 |

Captopril v Aldosterone to Plasma Renin Activity Ratio in Screening for Primary Aldosteronism

Yehuda M. Traub, MD
Arch Intern Med. 1982;142(12):2231-2232. doi:10.1001/archinte.1982.00340250197039.
Text Size: A A A
Published online

To the Editor.  —A variety of tests have been developed to help diagnose aldosterone-producing adenoma (APA) and distinguish it from idiopathic hyperaldosteronism (IHA). Recently, in the November Archives (1981;141: 1589-1593), Hiramatsu et al described a simple screening test to identify APA, which is based on a high plasma aldosterone to plasma renin activity (A-PRA) ratio and is claimed to be unaffected by various antihypertensive drug regimens. Unfortunately, the authors had no patients with IHA for comparison, and they gave no clinical details about the 11 patients who, despite high A-PRA ratios, did not have APA.We tested a number of screening methods on a 51-year-old man with IHA, including the one proposed by Hiramatsu et al. This patient had had hypertension for 15 years, and, sincefirst seen in our clinic six years ago, his serum potassium level had been consistently less than 2.9 mEq/L, except when treated with spironolactone. The Table shows the patient's

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
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.
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.
Submit a Comment

Multimedia

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

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

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

Jobs
brightcove.createExperiences();