試題詳解

200.五十三歲健康男性來做高血壓評估，血壓值為 190/105mmHg，實驗室數據為 (serum potassium 2.1mEq/L)，metabolic alkalosis (serum bicarbonate，36mEq/L)，normal renal function。Plasma rennin activity (PRA) is low (0.5 ng/mL per hour)，plasma aldosterone concentration (PAC) IS high (22.5ng/mL per hour)，the PAC: PRA ratio is 45。經過 3 天 的高鹽飲食，24 小時收集尿液有較高的 aldosterone concentration (714mg/day)，請問下 一步應安排何種適當的高血壓檢查?
(A) Bilateral renal vein sampling
(B) Captopil renal scan
(C) Computed tomography (CT) scan of the abdomen
(D) Renal artery angiogram
(E) MIBG scan