Presentation
CASE PRESENTATION: A-64-year-old male patient, presented with new-onset malignant hypertension, 13 months after an EVAR operation with CG placement to the left renal artery. [ncbi.nlm.nih.gov]
Evidence for a role in the one-kidney one-clip model of RVHT has been presented but is not clear or definitive. [emedicine.com]
Gastrointestinal
- Nausea
One week later, he was readmitted with headache, nausea, vomiting, seizure activity, and hypertension. [ncbi.nlm.nih.gov]
[…] body, such as to the legs, the brain, the eyes and elsewhere Sudden buildup of fluid in the air sacs of the lungs ( pulmonary edema ) If you have a dangerous form of high blood pressure called malignant hypertension, symptoms can include: Bad headache Nausea [nlm.nih.gov]
Cardiovascular
- Hypotension
However, antioxidant treatment did not affect XOR-mediated hypotensive effects of nitrite. [ncbi.nlm.nih.gov]
Secondary hyperaldosteronism also occurs as a physiological mechanism in hypotensive states, such as cardiac failure, but the present discussion focuses on presentation with hypertension. [clinicaladvisor.com]
Prolonged hypotension or severe dehydration (usually transient but may cause permanent damage). Embolic renal disease. Renal artery or aortic dissection. Neurofibromatosis. Renal arteriovenous malformation. Takayasu's arteritis. [patient.info]
Eyes
- Hypertensive Retinopathy
During clinical course, typical signs include sudden onset of severe and poorly controlled hypertension, renal insufficiency, proteinuria and hypertensive retinopathy. [ncbi.nlm.nih.gov]
Hypertensive retinopathy was found in 74% of cases. At biological investigations: mean serum creatinine was 423 μmol/l (167–829), nephrotic syndrome was observed in 34% of patients. [journals.lww.com]
At that time, the laboratory tests and renal ultrasound were normal and the eye fundus revealed a Keith-Wagener grade I hypertensive retinopathy. [revistanefrologia.com]
Psychiatrical
- Claustrophobia
This test cannot be done in patients with metal implants, pacemakers, or claustrophobia ( fear of closed spaces ). It may be used in people with mild to moderate, but not severe, kidney problems. [medicinenet.com]
Urogenital
- Polyuria
They initially presented with severe hyponatremia, hypokalemia, polyuria, and transient proteinuria. [ncbi.nlm.nih.gov]
- Cesarean Section
The patient was born at term, and delivery was through cesarean section without complications. Pregnancy was uneventful. Her chromosome constitution was 46, XX. The parents are not consanguineous, and there are no similar cases in the family. [scielo.br]
Neurologic
- Headache
One week later, he was readmitted with headache, nausea, vomiting, seizure activity, and hypertension. [ncbi.nlm.nih.gov]
Clinical examination showed headaches (92%), confusion (26%) and vision problems (63%). High blood pressure, and mild to moderate proteinuria were found in all cases. Hypertensive retinopathy was found in 74% of cases. [journals.lww.com]
During the year in which he was monitored, he had hypertensive emergency associated with headaches. Among the additional tests conducted, laboratory and eye fundus tests and renal ultrasound were normal. [revistanefrologia.com]
Symptoms of severely elevated blood pressure include: Headache Confusion Blurry or double vision Bloody (pink-colored) urine Nosebleed The vast majority of people with renal hypertension never experience these (or any) symptoms. [webmd.com]
- Irritability
We describe the case of a 13-month-old baby boy with failure to thrive, recent muscular weakness of the lower extremities and irritability. [ncbi.nlm.nih.gov]
This thread may cause irritation of the urethra. This may be increased for patients who were born with Hypospadias or other conditions that required a similar corrective surgery. [en.wikipedia.org]
Fecal transplant is used to treat gut infections and is now being studied as a treatment for obesity, urinary tract infections, irritable bowel syndrome and more. [nytimes.com]
Younger children may present with irritability, behavioral changes or failure to thrive. Older children may complain of headache and lethargy. [indianpediatrics.net]
Workup
Based on its high accuracy reported in adults renal CT angiography (CTA) with pediatric-appropriate low radiation dose techniques has become an important tool in the workup of renovascular hypertension in children. [ncbi.nlm.nih.gov]
If study is technically accurate and Consider percutaneous angioplasty and results are reliable, no further workup If study is technically accurate and stenting. is required. results are reliable, no further workup If accuracy of study is in doubt and [slideshare.net]
Serum
- Hyponatremia
They initially presented with severe hyponatremia, hypokalemia, polyuria, and transient proteinuria. [ncbi.nlm.nih.gov]
Treatment
After interventional treatment, medical treatment using antihypertensive drugs was necessary in 17 of the patients. [ncbi.nlm.nih.gov]
In children with severe hypertension, it may be necessary to initiate medical treatment before a definitive diagnosis is obtained. RVHT is often refractory to medical treatment. [emedicine.medscape.com]
Prognosis
With this background, we analyzed clinical and laboratory data and determined mark prognosis survival factors in multivariate analysis by comparing the survival curves by the log-rank test. [journals.lww.com]
Its prognosis is favourable since atheroma or organ lesions are usually lacking. Copyright © 2011 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. [ncbi.nlm.nih.gov]
[…] renal artery dissection (e.g. from trauma or aortic dissection ) renal infarction Page kidney renal artery embolism or thrombosis EVAR stent graft encircling tumor (e.g. pheochromocytoma ) radiation-induced fibrosis polyarteritis nodosa Treatment and prognosis [radiopaedia.org]
Prognosis of individuals with renovascular hypertension is not easy to determine. Those with atherosclerotic renal artery disease have a high risk of mortality, furthermore those who also have renal dysfunction have a higher mortality risk. [en.wikipedia.org]
Etiology
The importance of considering prenatal as well as postnatal etiologies of acquired renovascular hypertension in neonates is emphasized. [ncbi.nlm.nih.gov]
Epidemiology
Epidemiologically, it is found mostly in female patients and is more prevalent in Asian and Latin American countries. Disease may be heterogeneous in presentation. [ncbi.nlm.nih.gov]
Epidemiology [ 3 ] The prevalence of atherosclerotic renal artery stenosis is high - about 7% in individuals older than 65 years and about 50% in patients with diffuse arterial disease, and it is increasingly frequent in an ageing population. [patient.info]
(pg. 780 - 788 ) 39 Prospective evaluation of aggressive medical therapy for atherosclerotic renal artery stenosis, with renal artery stenting reserved for previously injured heart, brain, or kidney, Am J Cardiol, 2006, vol. 96 (pg. 1322 - 1327 ) 40 Epidemiology [eurheartj.oxfordjournals.org]
Pathophysiology
The pathophysiology of renal artery stenosis is reviewed, and the pros and cons of various imaging studies in the appropriate clinical setting are discussed. [ncbi.nlm.nih.gov]
Reorganized to mirror your changing practice, each cardiovascular-problem-based section offers a chapter on pharmacologic treatment (with a minimum of pathophysiology)...a chapter on catheter-based or minimally invasive interventions...and a discussion [books.google.com]
The propensity for angiotensin receptor blockers (ARBs) to affect GFR adversely is based on similar pathophysiology. [emedicine.com]
Prevention
Early diagnosis of renovascular hypertension and timely implementation of appropriate therapeutic procedures ensures optimum control of blood pressure, prevents ischemic nephropathy progression, and prevents the development of cardiovascular morbidity [ncbi.nlm.nih.gov]
Find comprehensive coverage of hypertension including pathogenesis, prevention, and treatment all in one practical volume. [books.google.com]