NCT04428827

Outcome of Patients With Primary Aldosteronism

Long-term Outcomes in Patients With Primary Aldosteronism After Treatment

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 600 (estimated)
• Sponsor: Changi General Hospital · Academic / Other
• Sex: All
• Age: 14 Years – 100 Years
• Healthy volunteers: —

Summary

Majority of patients with hypertension have primary hypertension (without an underlying cause). Primary aldosteronism (PA) is the most common cause of secondary hypertension, and can be found in 5-10% of patients locally. PA is caused by excessive release of a hormone (aldosterone) from the adrenal glands, which can be unilateral (one gland) or bilateral (both glands). It has been shown that excess aldosterone has other harmful effects in addition to hypertension, such as directly affecting the heart, blood vessels, kidneys, leading to increased cardiovascular morbidity and mortality. This is supported by studies showing reversal of these effects after treatment for PA. The investigators aim to assess the long-term cardiovascular, and renal outcomes of patients with PA, compared to patients with essential hypertension.

Conditions

• Primary Aldosteronism
• Primary Aldosteronism Due to Aldosterone Producing Adenoma
• Primary Aldosteronism Due to Adrenal Hyperplasia (Bilateral)
• Adrenalectomy; Status
• Mineralocorticoid Excess
• Mineralocorticoid Antagonists [Aldosterone Antagonists] Causing Adverse Effects in Therapeutic Use
• Cardiovascular Morbidity
• Chronic Renal Disease
• Hypokalemia

Interventions

Type	Name	Description
PROCEDURE	Unilateral adrenalectomy in patients with unilateral disease	Unilateral adrenalectomy in patients with unilateral disease

Timeline

• Start date: 2016-10-01
• Primary completion: 2022-07-30
• Completion: 2022-07-30
• First posted: 2020-06-11
• Last updated: 2021-08-12

Locations

1 site across 1 country: Singapore