Barry A. Sacks
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Effect of collection timing on selectivity index in unstimulated adrenal venous sampling: discovery and validation - Hypertension Research
Abstract This study is to determine peripheral sample collection timing impact on selectivity index (SI) and success of unstimulated adrenal venous sampling (AVS) for primary aldosteronism (PA) subtyping. In this study, a retrospective discovery and a prospective validation arm were conducted. 74 patients undergoing AVS before and after-ACTH stimulation were reviewed.
Commentary on Apparent Bilateral Adrenal Suppression
The authors describe an unusual contradictory finding in patients with proven primary hyperaldosteronism (PA) undergoing adrenal vein sampling (AVS) after cosyntropin (synthetic adrenocorticotropic hormone [ACTH]) infusion. The aldosterone/cortisol (A/C) ratio from both adrenal glands was lower than the A/C ratio of the inferior vena cava (IVC), termed ‘Apparent bilateral adrenal suppression’ (ABAS) or double-down AVS.
The Accountant: Start your succession plan now
by Barry Sacks Establishing a succession plan several years prior to transitioning your company will help you preserve or continue building its value. As the owner of a development, construction or renovation business, you’ve likely invested years of hard work building a successful enterprise. Now that you’ve built substantial value in your company, have you thought about how to sustain it for the day you decide to sell to a third party, or transition to a family member or employee?
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