Primary Aldosteronism Aggravated during Peripartum Period

Publisher Website
Google Scholar
Abstract
Two cases are reported of a 30 yr old and of a 28 yr old Japanese woman with primary aldosteronism in whom metabolic and blood pressure abnormalities were aggravated during peripartum period. The characteristic findings in 2 present cases are as follows: lower blood pressure during pregnancy, elevated blood pressure during peripartum period, and after parturition, serum K decreased and the blood pressure elevated. The reason why the hypertension and hypokalemia associated with primary aldosteronism were ameliorated during pregnancy was thought to be due to the increased secretion of progesterone. The rapid recurrence of symptoms, increase in blood pressure and hypokalemia in the post-partum period could be related to elevated prolactin and decreased progesterone levels.

This publication has 7 references indexed in Scilit: