Table 4.
Assessment of hypertension-mediated organ damage in PA patients.
| Comorbidity | Basic clinical screening | Instrumental and biochemical evaluation |
|---|---|---|
| Obstructive sleep apnea | History of snoring, excessive daytime sleepines, nocturnal cough, headach, etc. | Validated questionnaires (i.e. STOP-Bang and NoSAS); home sleep apnea testing (HSAT); attended full overnight polysomnography (PSG) |
| Atrial fibrillation | History of palpitations, arrhythmias, dyspnea. | 12-lead ECG, Holter monitoring, Echocardiography |
| Cardiac remodeling, left ventricular hypertrophy | Hystory of chest pain, shortness of breath, oedema, myocardial infarction, coronary revascularization, syncope, heart failure. | 12-lead ECG, Echocardiography |
| Metabolic disease | Hystory of non type 1 diabetes, insuline-resistance | Fasting blood glucose and glycated HbA1c |
| Renal function and chronic kidney disease | History of polyuria, nocturia, haematuria, urinary tract infections. | Urinary albumin excretion (UAE), estimated glomerular filtration rate (eGFR) |