In this novel retrospective look at sodium resistant aldosteronism we find evidence of hyperaldosteronism under every rock.
The Filtrate:
Joel Topf
Swapnil Hiremath
Samira Farouk
Jordy Cohen
with a late appearance of Matt Sparks
And special guests:
Brian Byrd, a cardiologist investigating aldosteronism at the University of Michigan
and
Susan Steigerwalt, a nephrologist and hypertension specialist who unfortunately due to technical problems largely was cut out of this episode 😢.
Show Notes:
The Study: The Unrecognized Prevalence of Primary Aldosteronism
Coverage at NephJC: http://www.nephjc.com/news/aldosterone
“What gets measured, gets managed.” Peter Drucker, or not
How much sodium comes from the food processing? 71%. Fourteen percent comes from the food itself, with 5% coming from food prep at home and another 5% from the salt shaker at the table. https://www.ahajournals.org/doi/epub/10.1161/CIRCULATIONAHA.116.024446
Surgical versus medical therapy for primary hyperaldosteronism: https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.117.10596 . And the editorial by David Calhoun: https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.118.10759
I could find no empiric data to support Swap’s supposition that the French and Italian people are more courageous than people in Canada. Citation needed.
ENAC inhibitors as treatment for primary hyperaldosteronism: https://onlinelibrary.wiley.com/doi/full/10.1111/jch.13566
Pathway 3 Trial: https://www.thelancet.com/journals/landia/article/PIIS2213-8587(15)00377-0/fulltext
Rennin in cow stomachs: http://www.vivo.colostate.edu/hbooks/pathphys/digestion/stomach/rennin.html
Sodium content of muffins: https://www.fatsecret.com/calories-nutrition/food/muffins/sodium
The MICE Package in R: MICE: Multivariate Imputation via Chained Equations) https://www.analyticsvidhya.com/blog/2016/03/tutorial-powerful-packages-imputing-missing-values/
Gender-Affirming Hormone Therapy, Vascular Health and Cardiovascular Disease in Transgender Adults https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.119.13080
false-positive aldosterone renin ratios in patients on combined estrogen progesterone treatment (only with direct renin concentration, the plasma renin activity is not fooled) https://academic.oup.com/jcem/article/102/7/2329/3093639
John Funder video commentary on the study: https://www.acpjournals.org/doi/abs/10.7326/M20-1758
ACD blood pressure guidelines (note the absence of B): https://pubmed.ncbi.nlm.nih.gov/17083059/
Pathway 2 study: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)00257-3/fulltext
ALLHAT trial: https://pubmed.ncbi.nlm.nih.gov/12479763/