Vnitr Lek 2006, 52(10):906-908

Primary aldosteronism in gravidity

A. Kreze jr^1,*, M. Pura², M. Dobáková³, N. Földešová¹

¹ II. interní oddělení FN Bulovka, Praha, přednosta prim. MUDr. Jiří Koskuba

² Národný endokrinologický a diabetologický ústav Ľubochňa, Slovenská republika, riaditeľka Ing. Adela Kubíniová

³ Endokrinologická ambulancia Novamed, Banská Bystrica, riaditeľ MUDr. Peter Finďo

Endocrinology and obstetrics have one thing in common - diagnosis and treatment endocrine diseases in gravidity. These are modified by physiological changes in gravidity, often missing data and tests in normal condition and the influence of diagnosis and treatment on the pregnant female and fetus have also to be taken into consideration. If diagnosis of primary aldosteronism is suspected, suprimed plasmatic renin activity is determinant indicator (disregarding arterial hypertension, hypokaliaemia, hyperkaliuresis and proteinuria) as well as ultrasound diagnostics or adrenal gland diagnostics means magnetic resonance imaging. Aldosteron produced adenomas may by treated by adrenalectomy in the second trimester, late diagnosed adenoma and hyperplastic forms are treated by the administration of the respective medicaments.

Keywords: hyperaldosteronism; gravidity

Received: June 1, 2006; Published: October 1, 2006  Show citation