Primary Hyperaldosteronism Presenting as Cardiac Arrest: A Case Report

Primary hyperaldosteronism is an underdiagnosed cause of hypertension despite its increasing prevalence and strong association with cardiovascular morbidity and mortality. Early recognition is critical. Individuals with primary aldosteronism generally present with treatment-resistant hypertension and hypokalemia. Here, we present the case of a patient who experienced cardiac arrest due to severe hypokalemia and was subsequently diagnosed with primary hyperaldosteronism, confirmed through adrenal vein sampling. The condition was successfully treated with a left adrenalectomy.

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Journal
Cureus
Published
2025-06-22
DOI
https://doi.org/10.7759/cureus.86558
Primary Topic
Hormonal Regulation and Hypertension
Type
article
Field-Weighted Citation Impact
0.00
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article

Primary Hyperaldosteronism Presenting as Cardiac Arrest: A Case Report

Hamza Arif, Maryam Saleem, Hassaan Iftikhar, Maahin M Khan
Cureus
Hormonal Regulation and Hypertension
article

Primary Hyperaldosteronism Presenting as Cardiac Arrest: A Case Report

Hamza Arif, Maryam Saleem, Hassaan Iftikhar, Maahin M Khan
article en

Abstract

Primary hyperaldosteronism is an underdiagnosed cause of hypertension despite its increasing prevalence and strong association with cardiovascular morbidity and mortality. Early recognition is critical. Individuals with primary aldosteronism generally present with treatment-resistant hypertension and hypokalemia. Here, we present the case of a patient who experienced cardiac arrest due to severe hypokalemia and was subsequently diagnosed with primary hyperaldosteronism, confirmed through adrenal vein sampling. The condition was successfully treated with a left adrenalectomy.

CureusVol. 17(6)
Waterbury Hospital (US), Shifa International Hospital (PK), St. Francis Medical Center (US), University College of Islamabad (PK)
Good health and well-being
Openalex Percentile: Top 78%
Hormonal Regulation and Hypertension
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Primary Hyperaldosteronism Presenting as Cardiac Arrest: A Case Report — Hamza Arif, Maryam Saleem, et al. · Cureus (2025) | TGRS Research Map | TGRS