Progestogen-Only Pill Associates with False-Positive Aldosterone/Renin Ratio Screening Test

    January 2020 in “ the british journal of cardiology
    Alexander Birkinshaw, Pankaj Sharma, Thang S. Han
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    Studysummary This case report suggests that the progestogen-only pill may cause false-positive aldosterone/renin ratio results in primary hyperaldosteronism screening, indicating it should be omitted before testing.
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    In 2019, a case study was conducted on a 20-year-old woman who showed an elevated aldosterone/renin ratio (ARR), a screening for primary hyperaldosteronism, while on the progestogen-only pill (POP). After she stopped taking the POP for four weeks, her ARR levels returned to normal, indicating that the POP may have caused a false-positive ARR test. This was the first reported case of a POP-related false-positive ARR screening for primary hyperaldosteronism. The study concluded that women undergoing ARR measurement should consider stopping the use of POP to avoid false-positive results and unnecessary further investigations and treatments.
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