Systemic sclerosis & Raynaud's

Assessment of markers of primary aldosteronism in systemic sclerosis and their relationships with renal and cardiovascular outcomes

RMD OpenPublished Cohort study

Authors' conclusion

HTN was common in this SSc cohort, and prevalence of positive PA screening test was estimated at 12% among hypertensive SSc patients

Study context

Population
Adult systemic sclerosis (SSc) patients and normotensive healthy controls, single centre
Participants
112 vs 48
Exposure
SSc patients vs normotensive healthy controls (HC)
  • SScn = 112
  • HCn = 48reference
Outcome
Prevalence and management of HTN, prevalence of positive PA screening (ARR), and associations of PA markers with HTN and SSc-related outcomes
Methodological detailssingle-centre, multivariable regression modelling
  • Single-centre
  • Multivariable regression modelling

Main finding

As reported in the abstract

Positive baseline ARR (PA screening) in SSc

SSc

8%

9 of 112

Positive baseline aldosterone:renin ratio (ARR) in hypertensive SSc subset
12% (5/41)

Observational data: associations, not effects.

Further findings

Hypertension (HTN) prevalence in SSc · baseline and last follow-up (median 5.1 years)
37% · 41 of 112
HTN prevalence in SSc — HTN at last follow-up visit
52%
  • HTN prevalence in SSc: median follow-up 5.1 years

Associations of primary aldosteronism (PA) biomarkers with SSc-related renal and cardiovascular outcomes or HTN at last follow-up

No associations observed

Original publication

Assessment of markers of primary aldosteronism in systemic sclerosis and their relationships with renal and cardiovascular outcomes. RMD Open. Published 15 July 2026. doi:10.1136/rmdopen-2026-006930

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