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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Complications With Mineralocorticoid Excess Syndrome

Is mineralocorticoid excess syndrome serious? treatable? I have a 16 year cousin that may have it. for months she has been in and out of hospitals, ERS, ICU with her BP elevated beyond belief. On 10 different types of meds a day, and nothing seems to regulate the bp except for when she is on IV drip.
Wed, 26 Jul 2017
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Cardiologist,  's  Response
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that there are different treatment for this syndrome, besides antihypertensive therapy.

But, first it is important to determine the possible underlying cause (hypertrophy or a tumor of the adrenal gland).

An abdominal MRI with gadolinium enhancement is necessary for this purpose. Some lab tests are also needed to determine the type of adrenal gland dysfunction:

- aldosteron plasma levels
- cortisol plasma levels
- urinary metanephrines.

Surgery may be needed.

Hope to have been helpful!

Kind regards,

Dr. Iliri
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Suggest Complications With Mineralocorticoid Excess Syndrome

Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that there are different treatment for this syndrome, besides antihypertensive therapy. But, first it is important to determine the possible underlying cause (hypertrophy or a tumor of the adrenal gland). An abdominal MRI with gadolinium enhancement is necessary for this purpose. Some lab tests are also needed to determine the type of adrenal gland dysfunction: - aldosteron plasma levels - cortisol plasma levels - urinary metanephrines. Surgery may be needed. Hope to have been helpful! Kind regards, Dr. Iliri