Feline hyperaldosteronism: Treatment and prognosis - Veterinary Medicine
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Feline hyperaldosteronism: Treatment and prognosis
Now that you've diagnosed this disorder—which is more common than once thought—it's time to decide whether to treat it medically or surgically. Luckily, most cases have a good prognosis with proper therapeutic measures.



Whether you choose medical or surgical treatment of feline hyperaldosteronism often depends on the laterality of the disease and whether metastasis has occurred. Cats with primary hyperaldosteronism caused by a nonmetastatic unilateral adrenal tumor have a good prognosis with surgical excision. Medical management with potassium supplementation, antihypertensive agents, and spironolactone therapy can be implemented for stabilization before surgery and in cases in which surgery is prohibitive. The expected survival time for these cats ranges from months to years with a good to excellent quality of life. See Hyperaldosteronism case report: Reviving a senior cat's verve for an overview on how to handle this adrenocortical disorder in cats.

Joseph Bisignano, DVM
Department of Veterinary Clinical Sciences
College of Veterinary Medicine
University of Minnesota
St. Paul, MN 55108

David S. Bruyette, DVM, DACVIM VCA
West Los Angeles Animal Hospital
1818 S. Sepulveda Blvd.
Los Angeles, CA 90025

Veterinary Diagnostic Investigation and Consultation
26205 Fairside Road
Malibu, CA 90256


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