Hong Yuzhi, chief physician of the endocrine department, said that the adrenal gland secretes a hormone called aldosterone. This kind of hormone will store the sodium and water in the body, and discharge the potassium in the body. Under the action of excessive hormones, patients will have moderate to severe hypertension, hypokalemia, increased urinary potassium excretion and metabolic alkalosis, which is called "primary aldosteronism". It is a curable secondary hypertension.
The study shows that the prevalence of primary aldosteronism in refractory hypertension is about 17% - 23%. And these patients are often ignored and can not get effective treatment.
If the age of first hypertension is very early, we should check it in detail, exclude secondary hypertension, and never take antihypertensive drugs blindly.
At present, the Endocrinology Department of Hangzhou hospital of traditional Chinese medicine is participating in the epidemiological examination of primary aldosteronism in patients with refractory hypertension (the main examination is free). The subjects are 18-65 years old. At the same time, three or more different kinds of antihypertensive drugs are used for at least 2 weeks. Those whose blood pressure is still greater than 140 / 90mmHg are welcome to consult and screen in the outpatient department of Endocrinology.