Please select the option that best describes you:
Do you forgo adrenal imaging in a patient with primary hyperaldosteronism who has decided against surgery?
Do you have any concerns about missing an adrenal carcinoma if imaging is not pursued?
Answer from: at Academic Institution
Yes. It would be a waste of time and money. Can go straight to using spironolactone or other mineralocorticoid blocker.
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Answer from: at Community Practice
I agree with the new Endocrine Society guidelines on pursuing adrenal imaging if AVS and surgery are planned. In my opinion, the yield of finding a significant adrenal pathology that will change management in a patient with suspected PA who does not desire surgery is extremely low.
Answer from: at Community Practice
Starting ALDOSTERONE blocker would be prudent in such cases and save money on imaging.