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Treatment

The patient underwent a NaCl loading suppression test, which showed a failure to suppress urinary aldosterone excretion to less than 12 µg/24-hr. This confirms the diagnosis of primary hyperaldosteronism.

Subsequently the patient underwent high-resolution computerized tomography, which showed a left-sided, 1.4 cm adrenal mass (Figure 1).

Fig. 1

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Q4. Given the diagnosis, which of the following drug classes should be added to the patient's existing regimen to manage her uncontrolled hypertension?
	ACE inhibitor
	Beta blocker
	Aldosterone receptor antagonist
	Alpha blocker
	Centrally acting alpha agonist

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