12/23/2025
Primary aldosteronism (PA) is one of the most common—and most overlooked—causes of high blood pressure. It affects an estimated 4.5–20% of patients with hypertension and dramatically increases the risk of stroke, heart failure, atrial fibrillation, and kidney damage. In a newly published Frontiers in Endocrinology perspective, Dr. Tobias Carling and Dr. Fabio Faucz outline why earlier detection and appropriate treatment—especially adrenalectomy for unilateral PA—can save lives and restore quality of life for many patients.
At the Carling Adrenal Center, this is exactly why research matters. Through the Hospital for Endocrine Surgery Research Center and support from the Carling Adrenal Center Foundation, we help advance studies that improve PA screening, streamline diagnosis, and expand access to expert, high-volume adrenal surgery—so fewer patients spend years on escalating medications without addressing the root cause.
If you have resistant hypertension, low potassium, sleep apnea, atrial fibrillation, or high blood pressure at a young age, ask your doctor about PA testing (aldosterone and renin). Earlier diagnosis can change everything.
