Primary Aldosteronism in Diabetic Subjects With Resistant Hypertension
Response to Umpierrez et al.
- Ying Wai Ng, MBCHB,
- Sau Cheung Tiu, MD,
- Jason Chiu Ming Ng, MBCHB and
- Hiu Yan Chan, MBCHB
- From the Department of Medicine, Queen Elizabeth Hospital, Hong Kong, China
- Address correspondence to Dr. Ying Ng, Queen Elizabeth Hospital, Medicine, 30 Gascoigne Rd., Kowloon, Hong Kong, China. E-mail: ngyingwai{at}hotmail.com
We read with interest the article by Umpierrez et al. in a recent issue of Diabetes Care (1). Primary aldosteronism, a condition associated with suppressed renin and angiotensin levels, is known to be associated with a higher incidence of cardiovascular complications and increased mortality compared with that in patients with comparable blood pressure levels due to essential hypertension. On the other hand, activation of the renin-angiotensin system, manifesting as …
