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Evaluation of Current Screening Thresholds for the Detection of Primary Aldosteronism
ahajournals.org/doi/10.1161/…
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Replying to @giorg_kyriakos @EJEndo
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Long-term cardiac effects of #adrenalectomy versus surveillance in mild cortisol excess: 5-year results from the prospective ITACA study by Dario De Alcubierre et al
EJE Volume 194, Issue 2, February 2026
Open access 👉 doi.org/10.1093/ejendo/lvag0…
#endocrinology #MACS #adrenal
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REVIEW: Subtyping of Primary Aldosteronism in Partial Adrenal Vein Sampling: The Relative Aldosterone Secretion Index
ahajrnls.org/4f53P3F
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Primary Aldosteronism
nature.com/articles/s41572-0…
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Low-renin hypertension in incidental adrenal adenomas and response to aldosterone-targeted therapy: a prospective study @renebaudrand @ThomasUslar
authors.elsevier.com/c/1nLNb…
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Evaluating the impact of adrenalectomy and mineralocorticoid receptor antagonists for primary aldosteronism on left ventricular remodeling: a systematic review and meta-analysis by Yu-Ching Chang @ChengHsuanTsai et al 👉 doi.org/10.1093/ejendo/lvaf2…
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REVIEW: Emerging Medical Therapies for Primary Aldosteronism
ahajrnls.org/42LtJlZ
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REVIEWER: Aldosterone and the Mineralocorticoid Receptor in Atrial Fibrillation
ahajrnls.org/4n3bDWb
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COMMENTARY: Beyond Spironolactone: Does Next Generation of Aldosterone Blockade Add Value?
ahajrnls.org/3OFUXXZ
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🫀 Don’t stop spironolactone just because eGFR dips.
TOPCAT Americas analysis (1,648 HFpEF patients):
• 26% had early acute eGFR decrease ≥15% — and it was adversely prognostic
• Early eGFR dip → HR 3.53 for sustained renal decline/ESKD/renal death
• Yet spironolactone consistently reduced CV death, HF hospitalization & aborted cardiac arrest vs. placebo (P-interaction = 0.64)
The CV benefit persisted regardless of early eGFR change.
An acute eGFR dip after MRA initiation should not automatically trigger discontinuation.
#HFpEF #Cardiology #HeartFailure #MedTwitter
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📢 New multicenter collaboration
🧬 Metastatic paragangliomas & pheochromocytomas
📊 Response & survival patterns
🤝 Two Spanish centers
Now published in Journal of Neuroendocrinology (JNE) 📖
Science moves forward together 💙 @HospitalLaFe @VHIO @vallhebron @PheoPara @APheipas
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🧬 Advanced ACC: new prognostic model (ENSAT)
📊 Multicenter cohort (n=418)
🔑 Key factors
• Tumor burden
• Cortisol excess
• ECOG-PS
• NLR ≥5
📈 ENSAT Risk Score
➡️ Score >2 = poor prognosis
➡️ Predicts OS, TTP & treatment response
🔗 doi.org/10.1093/ejendo/lvag0…
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🚨📅 SAVE THE DATE! Our @unibirmingham @unibirm_CMH Birmingham Adrenal Tumour Masterclass will be back on 12/09/2026.
Registrations opening soon!
ℹ️ Topic: secondary #hypertension & primary aldosteronism #primaryaldo #adrenal
🔗birmingham.ac.uk/study/short…
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Identifying factors associated with subsequent diagnosis of adrenal adenoma: a population-based historical case–control study by Ashley J Han et al
EJE Volume 193, Issue 3, September 2025
👉 doi.org/10.1093/ejendo/lvaf1…
ESE members free via my.ese-hormones.org
#endocrinology
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Happy to share our new editorial for the @BJSM_BMJ on the interpretation of statistical estimates and P-values!
doi.org/10.1136/bjsports-202…
@Mohamma70696197 @StevenStovitz @Lester_Domes
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Redefining Hemodynamic Instability in Pheochromocytoma Surgery through Latent Class Analysis by @LauAlberici @claudiochir et al
EJE Volume 193, Issue 4, October 2025
👉 doi.org/10.1093/ejendo/lvaf1…
ESE members free via 👉 my.ese-hormones.org
#endocrinology
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Estimated Global Prevalence of Genetic Carriers of Hereditary Pheochromocytoma-Paraganglioma Syndrome in a Large Multiethnic Genomic Database by Nipith Charoenngam et al
EJE Vol 193, Issue 4, October 2025
👉 doi.org/10.1093/ejendo/lvaf1…
ESE members free via 👉 my.ese-hormones.org
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New content online: Hyponatraemia in ageing bit.ly/4kSkBUo
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🏆 The Endocrine Connections Q3 Editor’s Choice Award goes to Guillaume Pierman et al. for their study validating the KASAI score, a non-invasive tool that could simplify diagnosis of primary aldosteronism and reduce reliance on adrenal venous sampling.
🔗doi.org/10.1530/EC-25-0156



























