ArticleAACE endocrinology and diabetes
Aldosterone Levels Post-IV Saline Suppression Using Commercial Reference Laboratory Liquid Chromatography-Tandem Mass Spectrometry Assay.
Article in AACE endocrinology and diabetes. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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10 authors.
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Abstract
Background/Objective: Diagnostic cutoffs for primary aldosteronism (PA) post-intravenous (IV) saline suppression have not been well established. These cutoffs are based on old immunoassays and, more recently, on liquid chromatography tandem mass spectrometry (LC-MS/MS) assays performed in research settings. Aldosterone levels associated with PA post-IV saline suppression using commercially available reference laboratory LC-MS/MS assays are unknown. Our objective was to report our experience measuring aldosterone levels postsaline infusion using a commercial reference laboratory LC-MS/MS assay. Methods: A retrospective chart review was conducted. A total of 35 patients who underwent a saline suppression test with aldosterone levels measured using a commercial reference laboratory LC-MS/MS assay were included. Patients were classified into 2 groups: no PA ( Results: Median baseline aldosterone levels were higher in patients with confirmed PA, 16.0 ng/dl (IQR: 14.0, 26.0) versus 11.0 ng/dl (IQR: 6.0, 13.0), Conclusion: Using an LC-MS/MS aldosterone assay from a commercial reference laboratory, we report that saline suppression in patients with confirmed PA can detect aldosterone levels as low as 4.0 ng/dl. These results need to be confirmed with larger studies.
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