Table 2.
Comparison of different immunoassays. Median aldosterone concentration before (0 h) and after (4 h) saline infusion by RIA (n = 81) and chemoluminescence assay (CLIA, n = 106). Data are given as median and interquartile range. PA subtypes (APA and BAH) were not definitively determined in 22 patients with PA.
| n | Aldosterone (ng/L) during the SIT | ||||||
|---|---|---|---|---|---|---|---|
| 0 h | 4 h | ||||||
| Coat-a-count® RIA | IDS-iSYS aldosterone® CLIA | P-value | Coat-a-count® RIA | IDS-iSYS aldosterone® CLIA | P-value | ||
| EH | 84 | 92 (71–131) | 86 (44–146) | 0.414 | 33 (25–48) | 37 (37–40) | 0.195 |
| PA | 103 | 210* (147–313) | 265* (158–384) | 0.235 | 120* (80–190) | 171* (101–246) | 0.027 |
| APA | 57 | 192 (146–367) | 269 (183–376) | 0.092 | 154 (77–191) | 175 (119–329) | 0.109 |
| BAH | 24 | 153 (139–292) | 276 (157–387) | 0.290 | 111 (79–154) | 171 (98–242) | 0.108 |
*P < 0.001 vs EH (Mann-WhitneyU-test).
APA, aldosterone-producing adenoma (RIA: n = 23, CLIA: n = 34); BAH, bilateral adrenal hyperplasia (RIA: n = 9, CLIA: n = 15); EH, essential hypertension (RIA: n = 37, CLIA: n = 47); PA, primary aldosteronism (RIA: n = 44, CLIA: n = 59).
This work is licensed under a