# Primary aldosteronism and hypertension management > Developing situation record from CLSTR: https://clstr.news/situations/primary-aldosteronism-and-hypertension-management > Updated: 2026-10-29T02:34:00.000Z. Sources: 2. Developments: 2. Medical professionals in Vietnam and Taiwan are identifying primary aldosteronism as a significant cause of resistant hypertension. This condition occurs when the adrenal glands produce excessive aldosterone, leading the kidneys to retain salt and water while increasing potassium excretion. In Vietnam, Dr. Nguyen Quang Bay of Bach Mai Hospital noted that symptoms of resulting low potassium, or hypokalemia, include fatigue, muscle weakness, and potential heart rhythm disorders. Treatment options include laparoscopic surgery for localized tumors or the use of mineralocorticoid receptor antagonists for bilateral involvement. In Taiwan, Dr. Chen Yu-an of Taipei Municipal Hospital Yangming Branch reported that approximately 10 percent of hypertension patients may suffer from this condition. Research suggests that nearly 40 percent of patients who undergo surgical removal of a unilateral adrenal adenoma may no longer require blood pressure medication within one year. ## Timeline ### 2026-10-29: Medical insights on hypertension causes and elderly care Medical reports discuss treating hypertension caused by primary aldosteronism through surgery and the importance of dignity-focused care for elderly patients with high-risk precancerous lesions. 2 sources. https://clstr.news/cluster/medical-insights-on-hypertension-causes-and-elderly-care ### 2026-10-09: Primary aldosteronism identified as cause for resistant hypertension Undiagnosed primary aldosteronism can cause resistant hypertension and low potassium, leading to muscle weakness and heart issues. Surgery or specific medications may offer effective treatment. 5 sources. https://clstr.news/cluster/primary-aldosteronism-identified-as-cause-for-resistant-hypertension --- Cite as: Primary aldosteronism and hypertension management. CLSTR, https://clstr.news/situations/primary-aldosteronism-and-hypertension-management