Searchable abstracts of presentations at key conferences in endocrinology

ea0099p414 | Adrenal and Cardiovascular Endocrinology | ECE2024

Aldosterone:metanephrine ratio better predicts laterality in patients with primary aldosteronism and mild autonomous cortisol co-secretion than aldosterone:cortisol ratio

Htut Zin , Sharma Aditi , Foran Daniel , Palazzo Fausto , Dimarco Aimee , Meeran Karim , Alsafi Ali , Wernig Florian

Introduction: Adrenal Venous Sampling (AVS) is considered the gold standard to identify surgically treatable primary aldosteronism (PA) subtypes. Current guidelines suggest using plasma cortisol concentrations to confirm successful adrenal vein (AV) cannulation and lateralisation, but cortisol co-secretion by adrenal adenomas can lead to diagnostic misinterpretation. Plasma metanephrines (MN) have a half-life of 3 to 6 min and are not affected by cortisol co-secretion, and the...