MEDBULLETIN MARCH 2021

Quiz:

51 year old male found to have high BP on routine screening. No other significant past medical history. BP in clinic 180/100.

1. What does the ECG show?
2. What condition does he have based on these blood tests?

Answer:

1. The ECG shows sinus rhythm with voltage criteria for LVH (R wave in aVF ≥20mm) and inferolateral t-wave inversion.
2. 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.