Polskie Archiwum Medycyny Wewnętrznej
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Pol. Arch. Med. Wewn. · Feb 2025
Long-term microvascular alterations in kidney transplant recipients after SARS-CoV-2 infection.
The long-term cardiovascular consequences of COVID-19 in organ recipients have been insufficiently studied. ⋯ We documented that microvascular dysfunction was associated with SARS-CoV-2 infection and is detectable 8 weeks after the acute phase in kidney transplant recipients.
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An adrenal incidentaloma (AI) is a mass discovered on imaging that was not performed for suspected adrenal diseases. Technological advancements in imaging modalities that are widely available, a growing awareness of preventive care and an aging population, have led to an increase in the detection of adrenal incidentalomas, generating diagnostic and therapeutic dilemmas for clinicians. ⋯ Hormonal hypertension carries a higher risk of cardiovascular complications and target organ damage than essential hypertension, independently of blood pressure control. In this review, we discuss the current 2023 European Society of Endocrinology guidelines on the management of adrenal incidentalomas, in the context of other experts' documents (including Polish Society of Endocrinology recommendations), with the main focus on the two secondary forms of hypertension - primary aldosteronism and pheochromocytoma - that should not be missed in clinical practice.