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Hypertension Screening — EECC MCQ

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HardHypertension & Preventive CardiologyHypertension ScreeningEECC

The 2024 ESC Hypertension Guidelines introduce a novel screening recommendation. Which of the following is newly recommended as a consideration in all adults with confirmed hypertension?

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Correct answer: A — Screening for primary aldosteronism by renin and aldosterone measurements

A major departure in the 2024 ESC Hypertension Guidelines is the recommendation (Class IIa, LOE B) that screening for primary aldosteronism should be considered in all adults with confirmed hypertension. This is based on evidence that PA has a much higher prevalence (5-20%) than previously recognised. Previous guidelines only recommended screening in resistant hypertension or hypokalaemia.

Reference: ESC (2024): Guidelines for the Management of Elevated Blood Pressure and Hypertension