Research Article

Twenty-Four-Hour Urinary Aldosterone Predicts Inappropriate Left Ventricular Mass Index in Patients with Primary Aldosteronism

Table 1

Clinical data of patients.

Group1 ( )2 ( )3 ( )

Age, years, mean (SD)50.5 (15.6)50.9 (11.4)46.9 0.209
Men, (%)11 (35.5)26 (47.3)24 (43.6)0.569
History of hypertension, years, mean (SD)5.2 (5.0)8.0 (7.6)6.6 (7.8)0.251
Body weight, kg, mean (SD)62.7 (12.0)67.2 (14.0)66.9 (13.0)0.293
Body height, cm, mean (SD)162.2 (9.7)161.0 (8.3)161 (8.8)0.744
Body mass index, kg/m2, mean (SD)23.7 (2.6)25.9 (4.0)25.7 0.019
Blood urea nitrogen, mg/dL, mean (SD)13.6 (3.1)14.0 (4.2)12.1 0.052
Creatinine, mg/dL, mean (SD)0.94 (0.17)0.97 (0.23)0.91 (0.24)0.472
SBP, mmHg, mean (SD)146 (17)152 (22)153 (22)0.293
DBP, mmHg, mean (SD)87 (11)94 (13)93 (14)0.056
Serum potassium, mEq/L, mean (SD)4.21 (0.33)3.53 (0.67)3.47 <0.001
PAC, ng/dL, mean (SD)24.3 (11.1)48.9 (39.5)57.0 <0.001
PRA, ng/mL/h, mean (SD)7.5 (8.8)0.7 (0.9)0.8 (1.6)<0.001
PAC*, mean (SD)1.34 (0.18)1.59 (0.26)1.67 <0.001
PRA*, mean (SD)0.53 (0.6)−0.52 (0.7)−0.63 <0.001
24-hour urinary aldosterone level, mean (SD)6.5 (2.4)6.1 (1.4)23.7 <0.001
24-hour urinary aldosterone level*, mean (SD)0.79 (0.14)0.77 (0.11)1.31 <0.001
Number of hypertension medication, mean (SD)1.7 (0.9)2.0 (1.0)1.8 (1.0)0.8
Hypertension medication:
 CCB, (%)17 (55)30 (57)29 (55)0.598
 ACEI or ARB, (%)19 (62)13 (25)15 0.004
 Thiazide, (%)3 (10)2 (3.7)5 (9.4)0.547
-blocker, (%)3 (10)14 (26.4)22 0.006
-blocker, (%)9 (29)28 (52.8)19 0.01
 Spironolactone, (%)0 (0)23 (43)25 <0.001
 Adenoma, (%)30 (58)46 <0.001

log-transformed.
SBP: systolic blood pressure; DBP: diastolic blood pressure; PAC: plasma aldosterone concentration; PRA: plasma renin activity; CCB: calcium channel blocker; ACEI: Angiotensin converting enzyme inhibitor; ARB: angiotensin receptor blocker.
Group 2 versus group 1, .
Group 3 versus group 1, .
Group 3 versus group 2, .