Impact of an Endocrine Hypertension Unit on the Diagnosis of Primary Aldosteronism

Suspected cases of endocrine hypertension, mainly PA, have been channeled to two endocrinologists since July 2021, and the C-HT-Endo has been running as a specific service two days a week since January 2022. In parallel with the creation of the clinic and once it was up and running, informative sessions were held with the hospital’s Nephrology, Interventional Radiology, Internal Medicine, Cardiology, Urology and Pathology departments to coordinate diagnostic-therapeutic strategies. From July 2021 to December 2022, 144 patients were seen at the C-HT-Endo, 56 (38.8%) referred from Nephrology and the rest from our department. Of the 144 patients, PA was diagnosed in 46 (31.9%), and no other cause in the rest. With the clinic, compared to previous years, we have seen a markedly progressive increase in the cases investigated and diagnosed with PA, as well as in the number and the diagnostic yield of adrenal venous sampling procedures performed.