I have done 24 hrs urinary metanephrine
27/3/2022
Result -378(range <312)
Repeated metanephrine on 24/5/2022
Result 35(<312).
Nor metanephrine 312(<712)
.
Aldosterone -12.23 (less than 22)
Plasma renin activity-0.23(.07-9)
High ARR- 61.(less than 20)
Repeat
Aldosterone 7.12
And direct renin 8.12
ARR normal
24 hours vma - normal
.
History of panic attack and high episodic bp
Tsh -6.4
Ft4- normal
Lipids
sugar - n
Calcium phosphorus normal
Sodium Potassium is normal.
Echo- grade 1 dd no LVH.other normal.
..
24 hours abpm in home environment normal.
What is the chance of I have pheochromocytoma?
Plz tell further suggestions