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All Journal CRJIM (Clinical and Research Journal in Internal Medicine)
Raharjo, Fajar Maulana
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Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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The Outcome of Primary Hyperaldosteronism in Resistant Hypertension with Efficiency Cost in Clinical Practices A Case Report Raharjo, Fajar Maulana; Lil Alamin, Rahmatan; Gunawan, Michelle; Nur Samsu
Clinical and Research Journal in Internal Medicine Vol. 6 No. 1 (2025): Volume 6 No 1, May 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.crjim.2025.006.01.13

Abstract

Aldosterone as a major mineralocorticoid has an important role in regulating circulating volume and potassium homeostasis, especially in the kidney. Manifestation of hypertension and hypokalemia in the young age population must be considered about the role of Aldosterone. This case report will discuss a patient with uncontrolled hypertension with severe hypokalemia who was treated with 3 kinds of antihypertensive drugs but the blood pressure is still high. After performing several diagnostic tests, the Aldosterone level was significantly high and left an adrenal tumor from an abdominal MRI. The patient treated with mineralocorticoid receptor antagonists or Spironolactone 25mg daily and show controlled blood pressure.
Co-Authors Lil Alamin, Rahmatan Michelle Gunawan, Michelle Nur Samsu