%0 Journal Article %T Aldosterone-to-renin ratio (ARR) as a screening tool for primary aldosteronism (PA). %A Lin CH %A Lin CH %A Chung MC %A Hung CS %A Tseng FY %A Er LK %A Jia-Yin Hou C %A Lin YH %A Wu VC %A Cheng HM %A Kao HL %A Wu KD %A Lai TS %J J Formos Med Assoc %V 123 %N 0 %D 2024 Mar 10 %M 37173226 %F 3.871 %R 10.1016/j.jfma.2023.04.019 %X The aldosterone-to-renin ratio (ARR) is the standard screening test for primary aldosteronism (PA). Because of the poor reproducibility of the ARR, repeat testing is recommended if the result is not compatible with the clinical condition. Various methods to measure renin are used in different hospitals in Taiwan, and the ARR cutoff values also differ among laboratories. The Task Force of Taiwan PA recommend using plasma renin activity (PRA) to calculate ARR instead of direct renin concentration (DRC) unless PRA is unavailable, because PRA is widely used in international guidelines and most studies.