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Hollenberg" "autores" => array:1 [ 0 => array:2 [ "nombre" => "N.K." "apellidos" => "Hollenberg" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1889183708717392?idApp=UINPBA00004N" "url" => "/18891837/0000002500000002/v1_201307261643/S1889183708717392/v1_201307261643/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Incidentaloma adrenal e hipertensión arterial" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "77" "paginaFinal" => "80" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "G. Alonso García, D. Fernández García, R. Reyes García" "autores" => array:3 [ 0 => array:4 [ "nombre" => "G." "apellidos" => "Alonso García" "email" => array:1 [ 0 => "galonso2@yahoo.com.ar" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Fernández García" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Reyes García" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Endocrinología. Hospital Universitario San Cecilio. Granada. España" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio de Endocrinología.Hospital Universitario San Cecilio.Avda. Doctor Olóriz, 16.18012 Granada. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Adrenal incidentaloma and high blood pressure" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-07-03" "fechaAceptado" => "2007-07-06" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec219057" "palabras" => array:3 [ 0 => "hipertensión arterial" 1 => "hiperaldosteronismo primario" 2 => "incidentaloma adrenal" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec219058" "palabras" => array:3 [ 0 => "high blood pressure" 1 => "primary hyperaldosteronism" 2 => "adrenal incidentaloma" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El incidentaloma adrenal se define como el hallazgo casual de una lesión adrenal evidenciada durante un estudio de imagen abdominal y su incidencia en la población general es del 4-6%. Entre las etiologías posibles se incluyen lesiones benignas o malignas que pueden ser hormonalmente activas o inactivas. Datos recientes sugieren que la incidencia de hiperaldosteronismo primario (HAP) en pacientes hipertensos puede alcanzar hasta un 10%, representando una de las causas más frecuentes de hipertensión arterial secundaria. En la mayoría de los casos el HAP es causado por un adenoma adrenal productor de aldosterona (APA) o hiperplasia bilateral idiopática. Evidencias recientes sugieren que la aldosterona ejerce un efecto deletéreo directo sobre el sistema cardiovascular incrementando la incidencia de eventos cardiovasculares y cerebrovasculares. Se expone el caso clínico de una mujer de 38 años con hipertensión arterial secundaria a un APA que se presentó como una masa adrenal incidentalmente descubierta.</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Adrenal incidentaloma is defined as the casual finding of an adrenal lesion seen during an abdominal imaging study and its incidence in the general population is 4-6%. Benign or malignant lesions, that may be hormonally active or inactive, are found among the possible etiologies. Recent data suggest that the incidence of primary hyperaldosteronism (PHA) in hypertense patients may reach up to 10%, thus representing one of the most frequent causes of secondary high blood pressure. In most of the cases, PHA is caused by an adrenal aldosterone producing adenoma (APA) or bilateral idiopathic hyperplasia. Recent evidence suggests that aldosterone has a direct harmful effect on the cardiovascular system, increasing the incidence of cardiovascular and cerebrovascular events. The clinical case of a 38-year old woman with HBP secondary to APA that presented as an incidentally discovered adrenal mass is presented.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Management of the clinically inapparent adrenal mass (“incidentaloma”" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M.M. Grumbach" 1 => "B.M. Biller" 2 => "G.D. Braunstein" 3 => "K.K. Campbell" 4 => "J.A. Camey" 5 => "P.A. Godley" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Intern Med" "fecha" => "2003" "volumen" => "138" "paginaInicial" => "424" "paginaFinal" => "429" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12614096" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical practice. The incidentally discovered adrenal mass" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "W.F. Young Jr." ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJMcp065470" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "2007" "volumen" => "356" "paginaInicial" => "601" "paginaFinal" => "610" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17287480" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "High incidence of primary aldosteronism in 199 patients referred with hypertension" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R.D. Gordon" 1 => "M. Stowasser" 2 => "T.J. Tunny" 3 => "S.A. Klemm" 4 => "J.C. Rutherford" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Exp Pharmacol Physiol" "fecha" => "1994" "volumen" => "21" "paginaInicial" => "315" "paginaFinal" => "318" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7923898" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Increased diagnosis of primary aldosteronism, including surgically correctable forms, in centers from five continents" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P. Mulatero" 1 => "M. Stowasser" 2 => "K.C. Loh" 3 => "C.e. Fardella" 4 => "R.D. Gordon" 5 => "L. Mosso" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1210/jc.2003-031337" "Revista" => array:6 [ "tituloSerie" => "J Clin Endocrinol Metab" "fecha" => "2004" "volumen" => "89" "paginaInicial" => "1045" "paginaFinal" => "1050" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15001583" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The new biology of aldosterone" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.M. Connell" 1 => "E. Davies" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1677/joe.1.06017" "Revista" => array:6 [ "tituloSerie" => "J Endocrinol" "fecha" => "2005" "volumen" => "186" "paginaInicial" => "1" "paginaFinal" => "20" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16002531" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evidence for an increased rate of cardiovascular events in patients with primary aldosteronism" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P. Milliez" 1 => "X. Girerd" 2 => "P.E. Plouin" 3 => "J. Blacher" 4 => "M.E. Safar" 5 => "J.J. Mourad" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jacc.2005.01.015" "Revista" => array:6 [ "tituloSerie" => "J Am Coll Cardiol" "fecha" => "2005" "volumen" => "45" "paginaInicial" => "1243" "paginaFinal" => "1248" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15837256" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Use of plasma aldosterone concentration- to-plasma renin activity ratio as a screening test for primary aldosteronism. A systematic review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "V.M. Montori" 1 => "W.F. Young Jr." ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Endocrinol Metab Clin North Am" "fecha" => "2002" "volumen" => "31" "paginaInicial" => "619" "paginaFinal" => "632" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12227124" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary aldosteronism" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Stowasser" 1 => "R.D. Gordon" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Best Pract Res Clin Endocrinol Metab" "fecha" => "2003" "volumen" => "17" "paginaInicial" => "591" "paginaFinal" => "605" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14687591" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Familial hyperaldosteronism" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Stowasser" 1 => "R.D. Gordon" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Steroid Biochem Mol Biol" "fecha" => "2001" "volumen" => "78" "paginaInicial" => "215" "paginaFinal" => "229" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11595502" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comparison of adrenal vein sampling and computed tomography in the differentiation of primary aldosteronism" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S.B. Magill" 1 => "H. Raff" 2 => "J.L. Shaker" 3 => "R.C. Brickner" 4 => "T.E. Knechtges" 5 => "M.E. Kehoe" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1210/jcem.86.3.7282" "Revista" => array:6 [ "tituloSerie" => "J Clin Endocrinol Metab" "fecha" => "2001" "volumen" => "86" "paginaInicial" => "1066" "paginaFinal" => "1071" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11238487" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/18891837/0000002500000002/v1_201307261643/S1889183708717409/v1_201307261643/es/main.assets" "Apartado" => array:4 [ "identificador" => "9113" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Caso clínico" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/18891837/0000002500000002/v1_201307261643/S1889183708717409/v1_201307261643/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1889183708717409?idApp=UINPBA00004N" ]
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Incidentaloma adrenal e hipertensión arterial
Adrenal incidentaloma and high blood pressure
G. Alonso García
, D. Fernández García, R. Reyes García
Autor para correspondencia
galonso2@yahoo.com.ar
Correspondencia: Servicio de Endocrinología.Hospital Universitario San Cecilio.Avda. Doctor Olóriz, 16.18012 Granada. España.
Correspondencia: Servicio de Endocrinología.Hospital Universitario San Cecilio.Avda. Doctor Olóriz, 16.18012 Granada. España.
Servicio de Endocrinología. Hospital Universitario San Cecilio. Granada. España
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Incidentaloma adrenal e hipertensión arterial
G. Alonso García, D. Fernández García, R. Reyes García
10.1016/S1889-1837(08)71740-9Hipertens Riesgo Vasc. 2008;25:77-80