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.
- What does the ECG show?
- 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) |
Answer:
- 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.