Table 1:
Parameters | Curative Adrenalectomy for Unilateral Disease | Non-curative Unilateral Adrenalectomy for Bilateral Disease | MR Antagonist Therapy | Dietary Sodium Restriction |
---|---|---|---|---|
Aldosterone | ↓↓ | ↓ | ↑ | ↑ |
Renin | ↑↑ | ↑↑ | ↑↑ | ↑ |
ARR | ↓↓ | ↓ | ↓ | ↓ |
Potassium | ↑ | ↑ | ↑ | ↑ |
Base Excess/ Alkalosis | ↓ | ↓ | ↓ | ↓ |
eGFR | ↓ | ↓ | ↓ | ↓ |
Blood Pressure | ↓↓ | ↓ | ↓ | ↓ |
Risk for Incident Cardiovascular and Kidney Disease | ↓* | unknown | ↓* | ↓# |
Observations from longitudinal cohort studies comparing curative adrenalectomy with MR antagonist therapy
Observations from population-based studies evaluating dietary sodium restriction in essential hypertension