Abstract
Abstract
Purpose
Familial hyperaldosteronism type 1 (FH-1) is a rare autosomal dominant form of primary aldosteronism, which features a marked phenotypic heterogeneity, ranging from mild to severe forms of arterial hypertension that can be complicated by stroke and cardiovascular events at a young age. As affected patients usually reach the fertile age, transmission of the disease to offspring is common. Notwithstanding this, reports of FH-1 in pregnancy are limited and there is a lack of treatment guidelines.
Methods and results
We searched the PubMed and EuropePMC databases with a PICO strategy to retrieve available information on management of FH-1 patients during pregnancy. We could identify seven relevant articles, which are herein reviewed.
Conclusion
Based on available information on pathophysiology and treatment of FH-1 in pregnancy, recommendations for the rational management of FH-1 in pregnancy are provided.
Funder
Grant support to Prof. Rossi: FORICA
Publisher
Springer Science and Business Media LLC
Subject
Endocrinology,Endocrinology, Diabetes and Metabolism
Reference29 articles.
1. I.S. Salti, M. Stiefel, J.L. Ruse, J.C. Laidlaw, Non-tumorous ‘primary’ aldosteronism. I. Type relieved by glucocorticoid (glucocorticoid-remediable aldosteronism). Can. Med. Assoc. J. 101(1), 1–10 (1969)
2. D.J. Sutherland, J.L. Ruse, J.C. Laidlaw, Hypertension, increased aldosterone secretion and low plasma renin activity relieved by dexamethasone. Can. Med. Assoc. J. 95(22), 1109–19 (1966)
3. M. Stowasser, R.D. Gordon, T.J. Tunny, S.A. Klemm, W.L. Finn, A.L. Krek, Familial hyperaldosteronism type II: five families with a new variety of primary aldosteronism. Clin. Exp. Pharmacol. Physiol. 19(5), 319–22 (1992)
4. M. Choi, U.I. Scholl, P. Yue, et al., K+ channel mutations in adrenal aldosterone-producing adenomas and hereditary hypertension. Science 331(6018), 768–72 (2011).
5. U.I. Scholl, C. Nelson-Williams, P. Yue et al. Hypertension with or without adrenal hyperplasia due to different inherited mutations in the potassium channel KCNJ5. Proc. Natl Acad. Sci. USA 109(7), 2533–8 (2012)
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