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?
Alosterone 531.6 (ref: 3.7-43.2ng/dl)
Renin 2.7 (ref:5.3 – 99.1 uU/ml)
Aldosterone/Renin ratio 196.9 (Ref: <=31)
Quiz Image
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.
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