Abstract

PALOMINO-PACICHANA, Diana Sofia; OCAMPO-CHAPARRO, José Mauricio; REYES-ORTIZ, Carlos A.  and  CASAS, Luz Ángela. Secondary hypertension approach in older adults: a case report. Medicas UIS [online]. 2022, vol.35, n.2, e500.  Epub Dec 03, 2022. ISSN 0121-0319.  https://doi.org/10.18273/revmed.v35n2-2022001.

Secondary arterial hypertension is rare, it is associated with a cause that can be treatable, for which its diagnosis and treatment are not important.The diagnostic orientation is made based on the data obtained in the anamnesis and physical examination of the patient, looking for possible etiologies.We present the case of a 63-year-old man with resistant hypertension, without other symptoms or personal or family history. Initial studies were performed that documented hypokalemia, which led to the suspicion of primary hyperaldosteronism. Complementary tests were requested with high plasma aldosterone, low plasma renin activity, in addition to a diagnostic magnetic resonance imaging that showed an adrenal nodule. A right adrenalectomy was considered, with a report of pathology compatible with adrenal cortical adenoma.During the follow-up in primary care, patient presented adequate control in blood pressure figures with a decrease in the number of antihypertensive drugs required.

Keywords : Hypertension; Hypokalemia; Aged; Adrenocortical Adenoma.

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