Abstract：
Primary aldosteronism (PA) is the most frequent cause of secondary hypertension (HT), and is associated with a higher cardiometabolic risk than essential HT. However, PA remains underdiagnosed, probably due to several difficulties clinicians usually find in performing its diagnosis and subtype classification. The aim of this consensus is to provide practical recommendations focused on the prevalence and the diagnosis of PA and the clinical implications of aldosterone excess, from a multidisciplinary perspective, in a nominal group consensus approach by experts from the Spanish Society of Endocrinology and Nutrition (SEEN), Spanish Society of Cardiology (SEC), Spanish Society of Nephrology (SEN), Spanish Society of Internal Medicine (SEMI), Spanish Radiology Society (SERAM), Spanish Society of Vascular and Interventional Radiology (SERVEI), Spanish Society of Laboratory Medicine (SEQC(ML)), Spanish Society of Anatomic-Pathology, Spanish Association of Surgeons (AEC).
摘要：
原发性醛固酮增多症（PA）是继发性高血压（HT）的最常见原因，与原发性HT相比，心脏代谢风险更高。然而,PA仍未被诊断，可能是由于临床医生在进行诊断和亚型分类时通常发现的一些困难。该共识的目的是提供针对PA的患病率和诊断以及醛固酮过量的临床意义的实用建议。从多学科的角度来看，在来自西班牙内分泌与营养学会（SEEN）的专家的名义团体共识方法中，西班牙心脏病学会（SEC），西班牙肾脏病学会（SEN），西班牙内科学会（SEMI），西班牙放射学会（SERAM），西班牙血管和介入放射学学会（SERVEI），西班牙实验室医学学会（SEQC（ML）），西班牙解剖病理学会，西班牙外科医生协会（AEC）
