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OCR: ally suspected Primary hyperaldosteronism nd to be , however, may when a hypertensive patient hypokalaemic. This diagnost taken properly; be missed unless blood samp scular exercise is apidly separated sampling without occlusion essential, and the plasma mu patient should from the red cells. In addition nce, with a low have an adequate sodium int ium for distal sodium diet, there will be litt ge and thus tubular sodium-potassium e ce primary he diagnosis hypokalaemia will not persis hyperaldosteronism is suspe ng suppression of must be confirmed by demor n of plasma plasma renin activity and ele aldosterone levels (Fig. 10.6).