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CLONIDINE SUPPRESSION TEST RELIABLY DIFFERENTIATES PHAEOCHROMOCYTOMA FROM ESSENTIAL HYPERTENSION
Anthony W. Bachmann 1 Richard D. Gordon 1 , 2
  1 Endocrine-Hypertension Research Unit, University of Queensland Department of Medicine, Greenslopes Hospital, Brisbane, Queensland, Australia
  2 Correspondence: Professor R. D. Gordon, Endocrine-Hypertension Research Unit, University Department of Medicine, Greenslopes Hospital, Brisbane, Qld 4120, Australia.
Copyright 1991 Blackwell Publishing Asia Pty Ltd
KEYWORDS
adrenaline • clonidine • clonidine suppression test • essential hypertension • phaeochromocytoma • plasma • radioenzymatic

ABSTRACT

AbstractREFERENCES

1. Clonidine resulted in significant suppression of both noradrenaline (NA) and adrenaline (ADR) in essential hypertensives (EHT) without any false positive findings. That is, every patient who failed to suppress had phaeochromocytoma (PH).

2. The clonidine suppression test (CST) produced minimal suppression of NA in NA-secreting PH (NA-PH) and correctly identified two NA-PH with normal basal plasma NA.

3. In ADR-secreting PH (ADR-PH) the CST did not result in significant suppression of ADR levels, whether elevated or normal basally.

4. The CST proved to be an accurate discriminator of PH from other forms of hypertension.

noradrenaline


Received 14 December 1990

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1440-1681.1991.tb01444.x About DOI

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