Searchable abstracts of presentations at key conferences in endocrinology

ea0070aep51 | Adrenal and Cardiovascular Endocrinology | ECE2020

Isolated acquired hypoaldosteronism as a cause of hypovolemic hyponatremia with urinary sodium loss

Jorge Gabriel Ruiz Sánchez , Cuesta M , De Miguel P , Perez X , Moraga I , Sáez de Parayuelo MV , Fernández L , Calle-Pascual LA , Runkle I

Isolated acquired hypoaldosteronism (HA) is considered to be a cause of hypovolemic hyponatremia (HH) with urinary sodium loss (UNaL) and hyperkalemia/upper-limit serum potassium (SK). However, some authors question the presentation of hyponatremia of these characteristics in the absence of Addison’s disease (AD).We present a series of patients with HA. Methods: Aretrospective study of 70 cases of HH with UNaL (UNa > 25 mmol/l) and SK ≥ 5 mmol/l or in...

ea0073aep38 | Adrenal and Cardiovascular Endocrinology | ECE2021

Low-renin hypertension with normal or high aldosterone levels is a cause of severe hypertension, and can be diagnosed by applying endocrine society hyperaldosteronism guidelines

Xavier Pérez Candel , Ramos Elvira , Barrio Elvira , Jorge Gabriel Ruiz Sánchez , Martín Cuesta Hernández , Pazos Mario , Carreiro Sara Mera , Madrid Blanca Bernaldo , Calle Alfonso , Runkle Isabel

Low-renin hypertension (LRH) with normal or elevated aldosterone levels is considered part of the spectrum of aldosterone-associated hypertension, and can cause poorly-controlled hypertension. We studied patients diagnosed with LRH, comparing their clinical and biochemical characteristics with patients diagnosed with primary hyperaldosteronism (PHA). Methods Retrospective. Diagnosis in a general Endocrinology out-patient clinic ove...

ea0073ep5 | Adrenal and Cardiovascular Endocrinology | ECE2021

Acquired hypoaldosteronism as classified by circulating aldosterone levels: characteristics

Jorge Gabriel Ruiz Sánchez , Mario Pazos , Xavier Perez Candel , Martín Cuesta Hernández , Emilia Gomez Hoyos , Maria Paz De Miguel Novoa , Victoria Saez de Parayuelo , Alfonso Calle , Isabel Runkle

Acquired Hypoaldosteronism may be caused by low circulating aldosterone levels (AD), resistance to mineralocorticoid action (MR), or a combination of both (CB). We describe the clinical/biochemical characteristics of these three types of hypoaldosteronism. Methods Retrospective review of a series of 177 patients with acquired hypoaldosteronism assessed by the Endocrinology Department of a tertiary teaching hospital from 2012 to 201...

ea0073aep434 | General Endocrinology | ECE2021

Drinking only when thirsty or when eating solids can normalize serum sodium levels in most patients with SIADH and a high fluid intake, regardless of Urine Osmolarity

Pazos Mario , Jorge Gabriel Ruiz Sánchez , Xavier Pérez Candel , Martín Cuesta Hernández , Nevado Celia Lopez , Raquel Pallarés , PATRICIA ESPINOSA DE LOS MONTEROS , Fernando Hernández Olmeda , Calle Alfonso , Runkle Isabel

Introduction Institutional campaigns, and some health care professionals, encourage the elderly to drink large quantities of fluids, regardless of their level of thirst. Furthermore, SIADH-inducing medications can often cause dryness of mouth. Thus, patients when diagnosed with SIADH can have a high fluid intake (FI), drinking in the absence of thirst. However, fluid restriction, considered the first step in therapy of mild/moderate SIADH hyponatremia, h...