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Would you start a mineralocorticoid receptor antagonist in patients with unilateral primary aldosteronism while they are awaiting adrenalectomy?
Answer from: at Community Practice
It depends on their blood pressure and potassium levels. Some of our patients are already on MRA at the time of their diagnosis without a need to get off the medication. Others may be started or returned to MRA after completing their biochemical workup. We recommend stopping MRA on the day of surger...
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Answer from: at Academic Institution
I usually keep the MRA therapy ongoing, and stop it only 24-48 hours prior to the surgery in anticipation of GA/possible hyperkalemia. If there are "non-Conn’s” related indications (DKD/CHF), we are switching over to finerenenone.