Overlapping Spironolactone Dosing in Primary Aldosteronism and Resistant Essential Hypertension

@article{Handler2012OverlappingSD,
  title={Overlapping Spironolactone Dosing in Primary Aldosteronism and Resistant Essential Hypertension},
  author={Joel F. Handler},
  journal={The Journal of Clinical Hypertension},
  year={2012},
  volume={14}
}
  • J. Handler
  • Published 1 October 2012
  • Medicine
  • The Journal of Clinical Hypertension
A 65-year-old man presented to our hypertension clinic with refractory hypertension and hypokalemia. At age 11 he was beaten up, suffering a left renal injury that required hospitalization. Subsequent diastolic blood pressures (BPs) rose to 105 mm Hg throughout high school and into college, gradually resolving off of medication. He had been treated with antihypertensive therapy for more than 25 years with poor control. Amlodipine and nifedipine were not tolerated due to edema. Hypokalemia was… 
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