Captopril suppression test

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Captopril suppression test
Aldosterone-2D-skeletal.svg
Aldosterone (chemical structure) is measured in the CST.
Purposemeasures plasma levels of aldosterone.

The captopril suppression test (CST) is a non-invasive medical test that measures plasma levels of aldosterone. [1] Aldosterone production is suppressed by captopril through the renin–angiotensin–aldosterone system. CST results are used to assist in the diagnososis of primary aldosteronism (Conn syndrome).

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Angiotensin-converting-enzyme inhibitors are a class of medication used primarily for the treatment of high blood pressure and heart failure. This class of medicine works by causing relaxation of blood vessels as well as a decrease in blood volume, which leads to lower blood pressure and decreased oxygen demand from the heart.

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CST or Cst may refer to:

<span class="mw-page-title-main">Primary aldosteronism</span> Medical condition

Primary aldosteronism (PA), also known as primary hyperaldosteronism, refers to the excess production of the hormone aldosterone from the adrenal glands, resulting in low renin levels and high blood pressure. This abnormality is caused by hyperplasia or tumors. About 35% of the cases are caused by a single aldosterone-secreting adenoma, a condition known as Conn's syndrome.

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Plasma renin activity (PRA), also known as the renin (active) assay or random plasma renin, is a measure of the activity of the plasma enzyme renin, which plays a major role in the body's regulation of blood pressure, thirst, and urine output. Measure of direct renin concentration (DRC) is technically more demanding, and hence PRA is used instead. DRC assays are still in evolution, and generally a conversion factor of PRA (ng/mL/h) to DRC (mU/L) is 8.2. A recently developed and already commonly used automated DRC assay uses the conversion factor of 12. PRA is sometimes measured, specially in case of certain diseases which present with hypertension or hypotension. PRA is also raised in certain tumors. A PRA measurement may be compared to a plasma aldosterone concentration as an aldosterone-to-renin ratio (ARR).

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SUSPUP (serum sodium to urinary sodium to serum potassium to urinary potassium) and SUSPPUP (serum sodium to urinary sodium to (serum potassium)2 to urinary potassium) are calculated structure parameters of the renin–angiotensin-aldosterone system (RAAS). They have been developed to support screening for primary or secondary aldosteronism.

<span class="mw-page-title-main">18-Hydroxycortisol</span> Chemical compound

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References

  1. Agharazii M, Douville P, Grose JH, Lebel M (June 2001). "Captopril suppression versus salt loading in confirming primary aldosteronism". Hypertension. 37 (6): 1440–3. doi: 10.1161/01.hyp.37.6.1440 . PMID   11408392.