Available online 22 May 2023

Author links open overlay panel, Section snippetsOperational structure of the clinic

Suspected cases of endocrine hypertension, mainly PA, have been channelled to two endocrinologists since July 2021, and the C-HT-Endo has been running as a specific service two days a week since January 2022. In parallel with the creation of the clinic and once it was up and running, informative sessions were held with the hospital's Nephrology, Interventional Radiology, Internal Medicine, Cardiology, Urology and Pathology departments to coordinate diagnostic-therapeutic strategies. The

Impact of the C-HT-Endo on the diagnostic approach to PA

From July 2021 to December 2022, 144 patients were seen at the C-HT-Endo, 56 (38.8%) referred from Nephrology and the rest from our department. Of the 144 patients, PA was diagnosed in 46 (31.9%), and no other cause in the rest. With the clinic, compared to previous years, we have seen a markedly progressive increase in the cases investigated and diagnosed with PA, as well as in the number and the diagnostic yield of adrenal venous sampling procedures performed (Fig. 1).

Implications of a C-HT-Endo

First of all, although there are clinical guidelines for the management of HT of endocrine origin, apart from PA, it is still a group of unusual diseases, which are highly heterogeneous from a clinical point of view. The logistical constraints of adapting the approach to the particular situation of each centre and getting a clinic of this type effectively up and running are many. Multidisciplinary coordination with the departments involved is therefore imperative to turn what were initially

Authors/contributors1

Conception and design of the manuscript: JGR-S.

2

Data collection: JGR-S and DM.

3

Data analysis and interpretation: JGR-S.

4

Drafting, review and approval of the submitted manuscript: JGR-S and DM.

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