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Fadeev V.V.

Éndokrinologicheskiĭ nauchnyĭ tsentr, Moskva

Bel'tsevich D.G.

Éndokrinologicheskiĭ nauchnyĭ tsentr, Moskva

Rogal' E.Iu.

Éndokrinologicheskiĭ nauchnyĭ tsentr, Moskva

Molashenko N.V.

FGU Éndokrinologicheskiĭ nauchnyĭ tsentr, Moskva

Melnichenko G.A.

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia;
Endocrinology Research Center, Ministry of Health of Russia, Moscow, Russia

The treatment of primary hyperaldosteronism

Authors:

Fadeev V.V., Bel'tsevich D.G., Rogal' E.Iu., Molashenko N.V., Melnichenko G.A.

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Journal: Problems of Endocrinology. 2010;56(3): 41‑46

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Fadeev VV, Bel'tsevich DG, Rogal' EIu, Molashenko NV, Melnichenko GA. The treatment of primary hyperaldosteronism. Problems of Endocrinology. 2010;56(3):41‑46. (In Russ.)

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The present review deals with the treatment of main nosological forms of primary hyperaldosteronism, such as aldosteron-producing adenoma (APA) and idiopathic hyperaldosteronism (IHA). Much attention is given to perioperative management of APA patients for whom surgical treatment is the method of choice. Idiopathic hyperaldosteronism characterized by bilateral macro- and micronodular changes dictates the necessity of medicamentous therapy, in the first place with antagonists of mi­neralocorticoid receptors (e.g. spironolactone). Pharmacological standards of drug therapy are described for patients with IHA and those with APA in whom surgical treatment is impracticable.

Keywords:

aldosteron-producing adenoma
adrenalectomy
idiopathic hyperaldosteronism
spironolactone

Authors:

Fadeev V.V.

Éndokrinologicheskiĭ nauchnyĭ tsentr, Moskva

Bel'tsevich D.G.

Éndokrinologicheskiĭ nauchnyĭ tsentr, Moskva

Rogal' E.Iu.

Éndokrinologicheskiĭ nauchnyĭ tsentr, Moskva

Molashenko N.V.

FGU Éndokrinologicheskiĭ nauchnyĭ tsentr, Moskva

Melnichenko G.A.

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia;
Endocrinology Research Center, Ministry of Health of Russia, Moscow, Russia

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