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  • Title: Ventricular fibrillation: an extreme presentation of primary hyperaldosteronism.
    Author: Abdo A, Bebb RA, Wilkins GE.
    Journal: Can J Cardiol; 1999 Mar; 15(3):347-8. PubMed ID: 10202199.
    Abstract:
    Patients with primary aldosteronism often present with hypokalemia and hypertension. Primary aldosteronism presenting as sudden death due to ventricular fibrillation is described in an otherwise healthy 37-year-old woman. After successful direct current cardioversion, serum potassium was 1.4 mmol/L. Investigations revealed a suppressed renin level, elevated serum aldosterone and a right adrenal nodule found on imaging. Ventricular fibrillation has not previously been described as a presention of a biochemically and surgically proven aldosterone-producing adenoma. This case highlights the importance of early detection and proper diagnosis of secondary hypertension before serious sequelae occur.
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