Effect of adrenocorticotropic hormone stimulation during adrenal vein sampling in primary aldosteronism

Hypertension
Silvia MonticonePaolo Mulatero

Abstract

Adrenal vein sampling (AVS) is fundamental for subtype diagnosis in patients with primary aldosteronism. AVS protocols vary between centers, especially for diagnostic indices and for use of adrenocorticotropic hormone (ACTH) stimulation. We investigated the role of both continuous ACTH infusion and bolus on the performance and interpretation of AVS in a sample of 76 patients with confirmed primary aldosteronism. In 36 primary aldosteronism patients, AVS was performed both under basal conditions and after continuous ACTH infusion, and in 40 primary aldosteronism patients, AVS was performed both under basal conditions and after ACTH IV bolus. Both ACTH protocols determined an increase in the rate of successful cannulation of the adrenal veins. Both ACTH infusion and bolus determined a significant increase in selectivity index for the right adrenal vein and ACTH bolus for the left adrenal vein. Lateralization index was not significantly different after continuous ACTH infusion and IV bolus. In 88% and 78% of the patients, the diagnosis obtained was the same before and after ACTH infusion and IV bolus, respectively. However, the reproducibility of the diagnosis was reduced using less stringent criteria for successful cannulation of...Continue Reading

References

Jun 1, 1995·Clinical and Experimental Pharmacology & Physiology·M StowasserR D Gordon
Jan 20, 2005·Surgery·William F YoungJon A van Heerden
May 4, 2006·The Journal of Clinical Endocrinology and Metabolism·Paolo MulateroMauro Maccario
May 12, 2007·Clinical Endocrinology·William F Young
Jan 17, 2008·The Journal of Clinical Endocrinology and Metabolism·Paolo MulateroFranco Veglio
Feb 6, 2008·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Fumitoshi SatohSadayoshi Ito
Jun 17, 2008·The Journal of Clinical Endocrinology and Metabolism·John W FunderUNKNOWN Endocrine Society
Jan 9, 2009·Clinical Endocrinology·William F Young, Anthony W Stanson
Apr 30, 2009·The Journal of Clinical Endocrinology and Metabolism·Norlela SukorMichael Stowasser
Oct 2, 2009·Cardiovascular and Interventional Radiology·Miroslav SolarJan Cap
Feb 1, 2011·Reviews in Endocrine & Metabolic Disorders·Paolo MulateroFranco Veglio
Feb 10, 2011·Reviews in Endocrine & Metabolic Disorders·Fumitoshi SatohSadayoshi Ito
Mar 9, 2011·Hypertension·Oliver VonendUNKNOWN German Conn's Registry
May 20, 2011·The Journal of Clinical Endocrinology and Metabolism·Yasuhiro NakamuraSadayoshi Ito
Aug 11, 2011·Endocrine Journal·Tetsuo NishikawaUNKNOWN Task Force Committee on Primary Aldosteronism, The Japan Endocrine Society

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Citations

May 23, 2013·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·L CeccoliG Giacchetti
May 6, 2014·Current Hypertension Reports·Michael Stowasser
Aug 30, 2012·Journal of Hypertension·Norman M Kaplan
May 17, 2014·The Lancet. Diabetes & Endocrinology·Silvia MonticonePaolo Mulatero
Apr 3, 2016·Annales d'endocrinologie·Stéphane BardetOlivier Steichen
May 11, 2015·Molecular and Cellular Endocrinology·Silvia MonticonePaolo Mulatero
Apr 10, 2015·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Jacopo BurrelloPaolo Mulatero
Apr 17, 2013·Clinica Chimica Acta; International Journal of Clinical Chemistry·Tanja DekkersJaap Deinum
Apr 23, 2013·Clinical Biochemistry·Panda Elliott, Daniel T Holmes
Apr 28, 2016·Current Opinion in Endocrinology, Diabetes, and Obesity·Olivier Steichen, Laurence Amar
May 4, 2016·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Valentina CrudoPaolo Mulatero
Jul 26, 2016·Frontiers in Endocrinology·Nada El GhorayebAndré Lacroix
Apr 20, 2017·International Journal of Molecular Sciences·Fabrizio BuffoloPaolo Mulatero
Aug 9, 2017·Clinical Endocrinology·Aya T NanbaAdina F Turcu
Sep 13, 2017·Journal of Clinical Pathology·Gregory Kline, Daniel T Holmes
Nov 8, 2018·The Journal of Clinical Endocrinology and Metabolism·Irakoze LaurentQifu Li
Oct 20, 2019·The Journal of Clinical Endocrinology and Metabolism·Hidekazu NaganoTomoaki Tanaka
Dec 6, 2019·Endocrine Journal·Arina MiyoshiSatoshi Terae
Feb 27, 2016·The Journal of Clinical Endocrinology and Metabolism·Nada El GhorayebAndré Lacroix
Mar 5, 2016·The Journal of Clinical Endocrinology and Metabolism·John W FunderWilliam F Young
Aug 15, 2014·The Journal of Clinical Endocrinology and Metabolism·Silvia MonticonePaolo Mulatero
Nov 1, 2012·Expert Review of Endocrinology & Metabolism·Tetsuo NishikawaYoko Matsuzawa
Jun 10, 2014·Nihon Naika Gakkai zasshi. The Journal of the Japanese Society of Internal Medicine·Fumitoshi SatohSadayoshi Ito
May 2, 2020·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Midori YatabeAtsuhiro Ichihara
Dec 22, 2017·Journal of the Endocrine Society·Andrea ViolaPaolo Mulatero
Sep 1, 2012·Expert Review of Endocrinology & Metabolism·Evelyn FischerMartin Reincke
Jul 31, 2018·Journal of the Endocrine Society·Hironobu UmakoshiMitsuhide Naruse
Jun 8, 2018·International Journal of Molecular Sciences·Martina TettiSilvia Monticone
Aug 30, 2019·Journal of Human Hypertension·Yuichi FujiiUNKNOWN JPAS Study Group
Aug 14, 2019·The Journal of Clinical Endocrinology and Metabolism·Taweesak WannachaleeAdina F Turcu

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