Proposed diagnostic flowchart for patients with suspected FH. ADX, adrenalectomy; ARR, aldosterone:renin ratio; AVS, adrenal vein sampling; CCB, calcium channel blockers; Dex, dexamethasone; ES, Endocrine Society; ESH, European Society of Hypertension; FH, familial hyperaldosteronism; MRA, mineralocorticoid receptor antagonist; PA: primary aldosteronism; PASNA, primary aldosteronism, seizures and neurological abnormalities.