Primary Aldosteronism (Conn's Syndrome) - Cleveland Clinic

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Primary aldosteronism (also called Conn's syndrome) is a rare condition caused by overproduction of the hormone aldosterone that controls ... ComingtoaClevelandCliniclocation?Visitation,maskrequirementsandCOVID-19information Home / HealthLibrary / Disease&Conditions PrimaryAldosteronism(Conn'sSyndrome) Primaryaldosteronism(alsocalledConn’ssyndrome)isarareconditioncausedbyoverproductionofthehormonealdosteronethatcontrolssodiumandpotassiumintheblood.Theconditionistreatedwithmedicationsandlifestylechangestocontrolbloodpressure,andinsomecasessurgery. Appointments216.444.6568 Appointments&Locations ContactUs Overview SymptomsandCauses DiagnosisandTests ManagementandTreatment Prevention Outlook/Prognosis PrimaryAldosteronism(Conn'sSyndrome) Overview SymptomsandCauses DiagnosisandTests ManagementandTreatment Prevention Outlook/Prognosis BackToTop Overview Adrenalglandlocatedonthetopofeachkidney. Whatisprimaryaldosteronism(Conn’ssyndrome)? Primaryaldosteronismmeanstheadrenalglandsproducetoomuchofthesteroidhormonealdosterone,whichhelpscontrolsodiumandpotassiumexcretion.Theadrenalglandsaretwosmalltriangularglands,oneontopofeachkidney. Thiscondition,alsocalledConn’ssyndrome,resultsfromoverproductionofaldosteronebyoneorbothadrenalglands.Overproductionofaldosteronebybothglands,noncancerousmassesinoneadrenalglandor,veryrarely,canceroustumors,cancauseoverproductionofaldosterone. Primaryaldosteronismusuallymanifestswithhighbloodpressureandlowpotassiumlevelsintheblood.Leftunchecked,highbloodpressureraisesyourriskforcomplicationsincludingheartattackandstroke,whilelowpotassiumcancauseheartrhythmirregularities. Whoislikelytohaveprimaryaldosteronism(Conn’ssyndrome)? Anyonecandevelopprimaryaldosteronism.Butit’smorelikelytobepresentifyouhave: Lowbloodpotassiumlevels(hypokalemia). Highbloodpressurestartingbeforeage30. Highbloodpressurerequiringthreeormoremedicationstomanage. Anadrenalmass. SymptomsandCauses Whatcausesprimaryaldosteronism(Conn’ssyndrome)? Primaryaldosteronismresultsfromoverproductionofaldosteronebytheadrenalglandsthemselves.Thishormonehelpsregulatethebody’sbalanceofwaterandsodium(salt),bloodvolumeandbloodpressure. Insomecases,primaryaldosteronismresultsfrombenign,ornoncancerous,tumorsinoneorbothadrenalglands. Rarely,primaryaldosteronismoccursbecauseofaninheriteddisorder.Inextremelyrarecases,canceroustumorsinoneorbothadrenalglandscauseprimaryaldosteronism. Whatarethesymptomsofprimaryaldosteronism(Conn’ssyndrome)? Primaryaldosteronismgenerallycauseshighbloodpressurewithlowpotassium. Othersymptomsmayinclude: Excessivethirst. Fatigue. Frequenturination. Headache. Musclecramps. Visualdisturbances. Weaknessortingling. DiagnosisandTests Howisprimaryaldosteronism(Conn’ssyndrome)diagnosed? Doctorsdiagnoseprimaryaldosteronismbymeasuringthelevelsofhormoneslikealdosteroneandreninalongwithelectrolytes,includingsodiumandpotassiuminpatientswithhighbloodpressure.Electrolytesaremineralsthathelpbalancetheamountofwaterinyourbody. Yourhealthcareprovidermayrecommendfurthertestingtoruleoutadrenalglandtumors.Thesemayinclude: Computerizedtomography(CT)scan,whichusesX-raystocreatepicturesofinternalbodystructures. Magneticresonanceimaging(MRI)usingradiowavesandhigh-poweredmagnetstovisualizetheinsideofyourbody. ManagementandTreatment Howisprimaryaldosteronism(Conn’ssyndrome)treated? Iftheextraaldosteroneisproducedbybothadrenalglandsitisusuallytreatedwithmedicationslikespirinolacone(brandnameAldactone®)oreplerenone(Inspra®)whichblocktheeffectsofaldosterone.Ifitisproducedbyoneadrenalgland,removingthatglandisanalternativetothosemedications. Yourdoctormayalsorecommendlifestylechanges,including: Frequentexercise. Limitingalcoholintake. Reducingsodiuminyourdiet. Stoppingsmoking. Whatcomplicationsareassociatedwithprimaryaldosteronism(Conn’ssyndrome)? Ifyoudon’ttreatprimaryaldosteronismyourbloodpressuremayincreasetodangerouslevels.Italsodisruptsthebalanceofelectrolytesinthebody. Electrolyteimbalancesandprolongedhighbloodpressureincreaseyourriskforseriouscomplications,including: Heartattackorheartfailure. Irregularheartbeat. Kidneyfailure. Stroke. Temporaryparalysis,ortheinabilitytomove. Prevention Canprimaryaldosteronism(Conn’ssyndrome)beprevented? Thereisnowaytopreventprimaryaldosteronism.Monitoringyourbloodpressurefrequentlycanhelpspotproblems. Outlook/Prognosis Whatistheprognosis(outlook)forpeoplewithprimaryaldosteronism(Conn’ssyndrome)? Patientswithprimaryaldosteronismcanbemanagedwithmedications.Ifthealdosteroneiscomingfromatumorinoneglandtheycanpotentiallybecuredbysurgerytoremoveadrenalglandtumors. 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