{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T08:06:25Z","timestamp":1782633985580,"version":"3.54.5"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,5,2]],"date-time":"2018-05-02T00:00:00Z","timestamp":1525219200000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:p>Primary aldosteronism (PA) is a common form of secondary hypertension. Several guidelines recommend that patients with adrenal incidentaloma have a high probability of suffering from PA. We conducted a prospective study of 269 consecutive adults with adrenal incidentaloma to investigate the prevalence and clinical characteristics of PA. In total, 9 participants were detected with PA, suggesting a prevalence of 3.35% among the study population. PA participants had a higher blood pressure level by 14\/20.8\u00a0mm Hg and a lower serum potassium level by 0.8\u00a0mmol\/L (<jats:italic>P\u00a0<\/jats:italic>&lt;\u00a0.05). Importantly, all patients with PA presented with concurrent indications (hypertension with or without hypokalemia) for screening of the disease, but they have not undergone relative screening by the referring physician, thus casting doubts about the appropriate implementation of current guidelines in real\u2010life practice. Intense efforts are needed to familiarize physicians with recommendations for PA to minimize undiagnosed cases and the detrimental sequelae of this endocrine form of hypertension.<\/jats:p>","DOI":"10.1111\/jch.13291","type":"journal-article","created":{"date-parts":[[2018,5,3]],"date-time":"2018-05-03T07:53:15Z","timestamp":1525333995000},"page":"942-948","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Primary aldosteronism in patients with adrenal incidentaloma: Is screening appropriate for everyone?"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5549-7048","authenticated-orcid":false,"given":"Konstantinos","family":"Stavropoulos","sequence":"first","affiliation":[{"name":"Second Propedeutic Department of Internal Medicine Aristotle University  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0379-0522","authenticated-orcid":false,"given":"Konstantinos P.","family":"Imprialos","sequence":"additional","affiliation":[{"name":"Second Propedeutic Department of Internal Medicine Aristotle University  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0894-2644","authenticated-orcid":false,"given":"Niki","family":"Katsiki","sequence":"additional","affiliation":[{"name":"Second Propedeutic Department of Internal Medicine Aristotle University  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantinos","family":"Petidis","sequence":"additional","affiliation":[{"name":"Second Propedeutic Department of Internal Medicine Aristotle University  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apostolos","family":"Kamparoudis","sequence":"additional","affiliation":[{"name":"Fifth Surgical Department Aristotle University  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panagiotis","family":"Petras","sequence":"additional","affiliation":[{"name":"Fifth Surgical Department Aristotle University  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasiliki","family":"Georgopoulou","sequence":"additional","affiliation":[{"name":"Department of Radiology Hippokration Hospital  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanos","family":"Finitsis","sequence":"additional","affiliation":[{"name":"Department of Radiology and Interventional Radiology Aristotle University  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christodoulos","family":"Papadopoulos","sequence":"additional","affiliation":[{"name":"Third Department of Cardiology Aristotle University  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasilios G.","family":"Athyros","sequence":"additional","affiliation":[{"name":"Second Propedeutic Department of Internal Medicine Aristotle University  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7269-8044","authenticated-orcid":false,"given":"Michael","family":"Doumas","sequence":"additional","affiliation":[{"name":"Second Propedeutic Department of Internal Medicine Aristotle University  Thessaloniki Greece"},{"name":"Veterans Affairs Medical Center George Washington University  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asterios","family":"Karagiannis","sequence":"additional","affiliation":[{"name":"Second Propedeutic Department of Internal Medicine Aristotle University  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,5,2]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp065470"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-10-1147"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-16-0467"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1530\/eje.0.1490273"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-138-5-200303040-00013"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-09-0234"},{"key":"e_1_2_7_8_1","first-page":"460","article-title":"Incidentally discovered adrenal masses","volume":"16","author":"Kloos RT","year":"1995","journal-title":"Endocr Rev"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1210\/er.2002-0031"},{"key":"e_1_2_7_10_1","first-page":"637","article-title":"A survey on adrenal incidentaloma in Italy. 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