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Primary aldosteronism is considered a candidate for the most common cause of secondary hypertension. Despite the effects of many antihypertensive agents on the renin\u2013angiotensin\u2013aldosterone system, ongoing efforts to manage hypertension should not be discontinued solely for the purposes of screening. If a patient presents with new or untreated hypertension, screening should be considered before starting antihypertensive agents that could affect the renin\u2013angiotensin\u2013aldosterone system.<\/jats:p>","DOI":"10.1002\/jhm.70035","type":"journal-article","created":{"date-parts":[[2025,3,23]],"date-time":"2025-03-23T03:08:47Z","timestamp":1742699327000},"page":"998-1001","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Things We Do for No Reason\u2122: Failing to consider primary aldosteronism in the initial evaluation of hypertension, hypertensive urgency, and hypertensive emergency"],"prefix":"10.1002","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2972-637X","authenticated-orcid":false,"given":"Michael C.","family":"Shih","sequence":"first","affiliation":[{"name":"Deming Department of Medicine, Section of General Internal Medicine &amp; Geriatrics Tulane University School of Medicine New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tessa R.","family":"Lavorgna","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of Miami Health System Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prerna","family":"Dogra","sequence":"additional","affiliation":[{"name":"Department of Head and Neck\u2010Endocrine Oncology Moffitt Cancer Center Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina N.","family":"Hirner","sequence":"additional","affiliation":[{"name":"Deming Department of Medicine, Section of General Internal Medicine &amp; 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