Hyperaldosteronism

Overview

4.3 out of 5 (24 Reviews)

Credits

1.00

Post Assessment Questions

10

Start Date

1 Sep 2023

Last Review Date

6 Oct 2024

Expiration Date

31 Aug 2026

Estimated Time To Finish

60 Minutes


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Activity Description

Hyperaldosteronism is a condition characterized by the excess production of aldosterone by the adrenal glands, which leads to hypertension that is often resistant to standard treatments. Hyperaldosteronism presents initially as refractory hypertension in relatively young patients but is frequently undiagnosed. Hyperaldosteronism can be primary, originating from the adrenal gland itself, or secondary, resulting from external factors that increase renin production. Both forms present similarly and are differentiated through laboratory testing and diagnostic studies. 

Initial screening for hyperaldosteronism is recommended for all patients newly diagnosed with hypertension, especially if their hypertension is difficult to manage medically or they have adrenal nodules. Screening is relatively simple, requiring only serum levels of renin and aldosterone. A serum aldosterone level of more than 20 ng/dL or an aldosterone-to-renin ratio of more than 20:1 is considered diagnostic of hyperaldosteronism by most experts.

Additionally, lateralization studies can differentiate between unilateral and bilateral diseases, which require different treatment approaches. Primary hyperaldosteronism caused by a unilateral abnormally functioning adrenal gland is best treated with a complete unilateral laparoscopic or robotic adrenalectomy. Patients with bilateral disease and nonsurgical candidates are best managed medically with mineralocorticoid receptor antagonists such as spironolactone and eplerenone. Accurate diagnosis and differentiation are crucial for selecting the appropriate treatment approach, whether surgical or medical, to improve patient outcomes.

This activity reviews the etiologies of hyperaldosteronism and provides clinicians with guidance on selecting appropriate diagnostic tests, managing the condition, and fostering effective collaboration among interprofessional healthcare clinicians to enhance patient care and outcomes.


Target Audience

This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, and nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify patients at high risk for hyperaldosteronism, particularly those with refractory hypertension or adrenal nodules.

  • Implement appropriate diagnostic strategies, including lateralization studies, to determine the need for surgical versus medical management.

  • Select the appropriate diagnostic tests, such as renin and aldosterone measurements, to accurately diagnose hyperaldosteronism.

  • Collaborate with interdisciplinary healthcare teams to ensure comprehensive care, optimize treatment outcomes, and enhance patient care for hyperaldosteronism.

Disclosures

StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.

Commercial Support: This activity has received NO commercial support.

Continuing Education Accreditation Information

In support of improving patient care, StatPearls, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

 

Physicians and Physician Associates: StatPearls, LLC designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM. Physicians and PAs should only claim credit commensurate with the extent of their participation in the activity.

American Board of Anesthesiology: This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

American Board of Internal Medicine: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

American Board of Pathology: Successful completion of this Continuing Certification activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 Lifelong Learning (CME) credits in the American Board of Pathology’s Continuing Certification Program.

American Board of Pediatrics: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

American Board of Surgery: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Please consult your professional licensing board for information on the applicability and acceptance of continuing education credit for this activity.

Method of Participation and Credit

  1. Register for the activity.    
  2. Review the target audience, learning objectives, and disclosure information.
  3. Study the educational content of the enduring material.
  4. Choose the best answer to each activity test question. To receive credit and a certificate, you must pass the test questions with a minimum score of 100%.
  5. Complete the post-activity assessment survey.

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Disclaimer

This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Faculty may discuss investigational products or off-label uses of products regulated by the FDA. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on statpearls.com. StatPearls expressly disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

Unapproved Uses of Drugs/Devices: In accordance with FDA requirements, the audience is advised that information presented in this continuing education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA-approved package insert for each drug/device for full prescribing/utilization information.

Cancellation Policy: Please see the cancellation policy. StatPearls, LLC reserves the right to cancel any course due to unforeseen circumstances.

 

 
 

Reviews

Kelly V. on 4/9/2021

Nicolas P. on 8/22/2021

BETTY S. on 11/14/2021

Gibi G. on 11/23/2021

Louie L. on 7/6/2022

Manish Kumar S. on 6/26/2022

K.Navanitha R. on 7/20/2022

Scott S. on 8/18/2022

Susan c. on 9/5/2022

Louisette S. on 11/4/2022

jeffrey t. on 11/6/2022

Please v need to so much of our valuable time on this feedback for every activity,it's really taking so much of time

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ishvar p. on 8/29/2024

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Dr Prashasti k. on 10/16/2024

Unlimited Physician CME

Stay up to date on the latest medical knowledge with 6824 CME activities. In these online self-assessment activities, read our reference articles and test your knowledge with more than 8106.5 hours of CME.

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$49 1 activity

6 Month Unlimited Physician CME

Access to all the Unlimited Physician CME activities in all specialties.

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