Fat Mass: the Most Sensitive Predictor of Persistent Hypertension in Unilateral Primary Aldosteronism

This study proposes a potential method to assess the degree of obesity in a less invasive manner and to predict future cardiovascular events. The results show that both NWO (BMI < 25) and obesity uPA patients have a low hypertension remission rate. This may not be assessed by measuring waist circumference or the waist-to-hip ratio as proposed by Medina-Inojosa et al. [1]; rather, assessing FM using a BCM may be an accurate and valid method. In addition, the studies by Haze et al. required CT imaging [5, 6]. The examinations for diagnosing PA include CT imaging to confirm the presence or absence of an adrenal tumor. If there is no adrenal tumor on CT, follow-up serial CT is not desirable; a BCM is a better modality for monitoring FM in terms of medical costs and radiation exposure. Thus, this is an excellent paper showing that FM quantification using a BCM is a more sensitive marker than BMI for predicting the prognosis of hypertension after uPA adrenalectomy.