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The 2020 Italian Society of Arterial Hypertension (SIIA) practical guidelines for the management of primary aldosteronism.


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.

SUBMITTER: Rossi GP 

PROVIDER: S-EPMC7803025 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Publications

The 2020 Italian Society of Arterial Hypertension (SIIA) practical guidelines for the management of primary aldosteronism.

Rossi Gian Paolo GP   Bisogni Valeria V   Bacca Alessandra Violet AV   Belfiore Anna A   Cesari Maurizio M   Concistrè Antonio A   Del Pinto Rita R   Fabris Bruno B   Fallo Francesco F   Fava Cristiano C   Ferri Claudio C   Giacchetti Gilberta G   Grassi Guido G   Letizia Claudio C   Maccario Mauro M   Mallamaci Francesca F   Maiolino Giuseppe G   Manfellotto Dario D   Minuz Pietro P   Monticone Silvia S   Morganti Alberto A   Muiesan Maria Lorenza ML   Mulatero Paolo P   Negro Aurelio A   Parati Gianfranco G   Pengo Martino F MF   Petramala Luigi L   Pizzolo Francesca F   Rizzoni Damiano D   Rossitto Giacomo G   Veglio Franco F   Seccia Teresa Maria TM  

International Journal of Cardiology. Hypertension 20200415


<h4>Background and aim</h4>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.<h4>Methods</h4>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 cri  ...[more]

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