International Journal of Cardiology. Hypertension (Jun 2020)
The 2020 Italian Society of Arterial Hypertension (SIIA) practical guidelines for the management of primary aldosteronism
- Gian Paolo Rossi,
- Valeria Bisogni,
- Alessandra Violet Bacca,
- Anna Belfiore,
- Maurizio Cesari,
- Antonio Concistrè,
- Rita Del Pinto,
- Bruno Fabris,
- Francesco Fallo,
- Cristiano Fava,
- Claudio Ferri,
- Gilberta Giacchetti,
- Guido Grassi,
- Claudio Letizia,
- Mauro Maccario,
- Francesca Mallamaci,
- Giuseppe Maiolino,
- Dario Manfellotto,
- Pietro Minuz,
- Silvia Monticone,
- Alberto Morganti,
- Maria Lorenza Muiesan,
- Paolo Mulatero,
- Aurelio Negro,
- Gianfranco Parati,
- Martino F. Pengo,
- Luigi Petramala,
- Francesca Pizzolo,
- Damiano Rizzoni,
- Giacomo Rossitto,
- Franco Veglio,
- Teresa Maria Seccia
Affiliations
- Gian Paolo Rossi
- Clinica dell'Ipertensione Arteriosa, Department of Medicine - DIMED, University of Padua, Italy; Corresponding author. DIMED –Clinica dell’Ipertensione Arteriosa, University Hospital, via Giustiniani, 2; 35126, Padova, Italy.
- Valeria Bisogni
- Clinica dell'Ipertensione Arteriosa, Department of Medicine - DIMED, University of Padua, Italy
- Alessandra Violet Bacca
- Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
- Anna Belfiore
- Clinica Medica ''A. Murri'', Department of Biomedical Sciences and Human Oncology, University of Bari Medical School, Bari, Italy
- Maurizio Cesari
- Clinica dell'Ipertensione Arteriosa, Department of Medicine - DIMED, University of Padua, Italy
- Antonio Concistrè
- Department of Translational and Precision Medicine, Unit of Secondary Arterial Hypertension, ''Sapienza'' University of Rome, Italy
- Rita Del Pinto
- University of L'Aquila, Department of Life, Health and Environmental Sciences, San Salvatore Hospital, L'Aquila, Italy
- Bruno Fabris
- Department of Medical Sciences, Università degli Studi di Trieste, Cattinara Teaching Hospital, Trieste, Italy
- Francesco Fallo
- Department of Medicine, DIMED, Internal Medicine 3, University of Padua, Italy
- Cristiano Fava
- Department of Medicine, University of Verona, Policlinico ''G.B. Rossi'', Italy
- Claudio Ferri
- University of L'Aquila, Department of Life, Health and Environmental Sciences, San Salvatore Hospital, L'Aquila, Italy
- Gilberta Giacchetti
- Division of Endocrinology, Polytechnic University of Marche, Ancona, Italy
- Guido Grassi
- University of Milano-Bicocca, Italy
- Claudio Letizia
- Department of Translational and Precision Medicine, Unit of Secondary Arterial Hypertension, ''Sapienza'' University of Rome, Italy
- Mauro Maccario
- Endocrinology, Diabetology, and Metabolism, Department of Medical Sciences, University of Turin, Turin, Italy
- Francesca Mallamaci
- CNR-IFC Clinical Epidemiology of Renal Diseases and Hypertension, Reggio Calabria, Italy
- Giuseppe Maiolino
- Clinica dell'Ipertensione Arteriosa, Department of Medicine - DIMED, University of Padua, Italy
- Dario Manfellotto
- UO Medicina Interna, Ospedale Fatebenefratelli Isola Tiberina, Rome, Italy
- Pietro Minuz
- Department of Medicine, University of Verona, Policlinico ''G.B. Rossi'', Italy
- Silvia Monticone
- Hypertension Unit, Division of Internal Medicine, Department of Medical Sciences, University of Turin, Italy
- Alberto Morganti
- Centro Fisiologia Clinica e Ipertensione, Ospedale Policlinico, Università Milano, Milan, Italy
- Maria Lorenza Muiesan
- Clinica Medica, Department of Clinical and Experimental Sciences, University of Brescia, Italy
- Paolo Mulatero
- Hypertension Unit, Division of Internal Medicine, Department of Medical Sciences, University of Turin, Italy
- Aurelio Negro
- Department of Medicine, Center for Hypertension, IRCCS Arcispedale S. Maria Nuova, Reggio Emilia, Italy
- Gianfranco Parati
- Department of Medicine and Surgery, University of Milano-Bicocca and Istituto Auxologico Italiano, IRCCS, Milan, Italy
- Martino F. Pengo
- Department of Medicine and Surgery, University of Milano-Bicocca and Istituto Auxologico Italiano, IRCCS, Milan, Italy
- Luigi Petramala
- Department of Translational and Precision Medicine, Unit of Secondary Arterial Hypertension, ''Sapienza'' University of Rome, Italy
- Francesca Pizzolo
- Department of Medicine, University of Verona, Policlinico ''G.B. Rossi'', Italy
- Damiano Rizzoni
- Clinica Medica, Department of Clinical and Experimental Sciences, University of Brescia, Italy
- Giacomo Rossitto
- Clinica dell'Ipertensione Arteriosa, Department of Medicine - DIMED, University of Padua, Italy; University of Glasgow, Institute of Cardiovascular and Medical Sciences, Glasgow, UK
- Franco Veglio
- Hypertension Unit, Division of Internal Medicine, Department of Medical Sciences, University of Turin, Italy
- Teresa Maria Seccia
- Clinica dell'Ipertensione Arteriosa, Department of Medicine - DIMED, University of Padua, Italy
- Journal volume & issue
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Vol. 5
p. 100029
Abstract
Background and aim: Considering the amount of novel knowledge generated in the last five years, a team of experienced hypertensionlogists was assembled to furnish updated clinical practice guidelines for the management of primary aldosteronism. Methods: To identify the most relevant studies, the authors utilized a systematic literature review in international databases by applying the PICO strategy, and then they were required to make use of only those meeting predefined quality criteria. For studies of diagnostic tests, only those that fulfilled the Standards for Reporting of Diagnostic Accuracy recommendations were considered. Results: Each section was jointly prepared by at least two co-authors, who provided Class of Recommendation and Level of Evidence following the American Heart Association methodology. The guidelines were sponsored by the Italian Society of Arterial Hypertension and underwent two rounds of revision, eventually reexamined by an External Committee. They were presented and thoroughly discussed in two face-to-face meetings with all co-authors and then presented on occasion of the 36th Italian Society of Arterial Hypertension meeting in order to gather further feedbacks by all members. The text amended according to these feedbacks was subjected to a further peer review. Conclusions: After this process, substantial updated information was generated, which could simplify the diagnosis of primary aldosteronism and assist practicing physicians in optimizing treatment and follow-up of patients with one of the most common curable causes of arterial hypertension.
