51 year old male found to have high BP on routine screening. No other significant past medical history. BP in clinic 180/100.
What does the ECG show?
What condition does he have based on these blood tests?
531.6 (ref: 3.7-43.2ng/dl)
2.7 (ref:5.3 – 99.1 uU/ml)
196.9 (Ref: <=31)
The ECG shows sinus rhythm with voltage criteria for LVH (R wave in aVF ≥20mm) and inferolateral t-wave inversion.
The aldosterone level is very high with a suppressed renin level. The aldosterone to renin ration is very high. This pattern s suggestive of primary hyperaldosteronism and he needs CT imaging of his adrenal glands.