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The Never-Ending Story of Complicated Hypertension

Emma Weiss

Emma Weiss

  • Carol Davila University of Medicine and Pharmacy BucharestBucharest,
  • Emergency Clinical Hospital BucharestBucharest,
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Weiss, Emma
, 
Gabriel Sica

Gabriel Sica

  • Carol Davila University of Medicine and Pharmacy BucharestBucharest,
  • Emergency Clinical Hospital BucharestBucharest,
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Sica, Gabriel
, 
Ana Maria Balahura

Ana Maria Balahura

  • Carol Davila University of Medicine and Pharmacy BucharestBucharest,
  • Emergency Clinical Hospital BucharestBucharest,
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Balahura, Ana Maria
, 
Cristina Japie

Cristina Japie

Emergency Clinical Hospital BucharestBucharest,
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Japie, Cristina
, 
Daniela Bartos

Daniela Bartos

  • Carol Davila University of Medicine and Pharmacy BucharestBucharest,
  • Emergency Clinical Hospital BucharestBucharest,
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Bartos, Daniela
, 
Lucian Calmac

Lucian Calmac

Emergency Clinical Hospital BucharestBucharest,
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Calmac, Lucian
, 
Costin Minoiu

Costin Minoiu

  • Carol Davila University of Medicine and Pharmacy BucharestBucharest,
  • Emergency Clinical Hospital BucharestBucharest,
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Minoiu, Costin
, 
Laurentiu Gulie

Laurentiu Gulie

Emergency Clinical Hospital BucharestBucharest,
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Gulie, Laurentiu
 und 
Elisabeta Badila

Elisabeta Badila

  • Carol Davila University of Medicine and Pharmacy BucharestBucharest,
  • Colentina Clinical Hospital BucharestBucharest,
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Badila, Elisabeta
  
19. Aug. 2022
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Artikel-Kategorie: Case Report
Online veröffentlicht: 19. Aug. 2022
Seitenbereich: 113 - 119
DOI: https://doi.org/10.2478/rjc-2022-0015
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© 2022 Emma Weiss et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Figure 1

Chest X-ray upon admission showing an increased cardiothoracic index, with no signs of pulmonary congestion or pleural effusion.
Chest X-ray upon admission showing an increased cardiothoracic index, with no signs of pulmonary congestion or pleural effusion.

Figure 2

Electrocardiogram upon admission showing bradycardic sinus rhythm at 45 bpm with a corrected QT by Bazett formula of 416 ms, with Cornell criteria for left ventricle hypertrophy, and negative T waves in the lateral territory – DI, aVL, V5, V6.
Electrocardiogram upon admission showing bradycardic sinus rhythm at 45 bpm with a corrected QT by Bazett formula of 416 ms, with Cornell criteria for left ventricle hypertrophy, and negative T waves in the lateral territory – DI, aVL, V5, V6.

Figure 3

Echocardiography with normal sized left ventricle but severe concentric hypertrophy and normal systolic function. Tissue Doppler Imaging revealed subclinical longitudinal systolic dysfunction with reduced global longitudinal strain predominantly in the infero-lateral basal segments.
Echocardiography with normal sized left ventricle but severe concentric hypertrophy and normal systolic function. Tissue Doppler Imaging revealed subclinical longitudinal systolic dysfunction with reduced global longitudinal strain predominantly in the infero-lateral basal segments.

Figure 4

24h Blood pressure monitoring displaying a riser-type dipping pattern and average blood pressure of 196/92 mmHg with high systolic variability.
24h Blood pressure monitoring displaying a riser-type dipping pattern and average blood pressure of 196/92 mmHg with high systolic variability.

Figure 5

Peripheral angiography showing right renal artery 40% tubular stenosis in the proximal segment, with a homogeneously opaque (preserved) nephrogram. Left renal artery is not visible after nephrectomy.
Peripheral angiography showing right renal artery 40% tubular stenosis in the proximal segment, with a homogeneously opaque (preserved) nephrogram. Left renal artery is not visible after nephrectomy.

Figure 6

Coronary angiography showing circumflex artery with extensive atherosclerosis without significant lesions permeable stent and calcified right coronary artery with ostial chronic total occlusion.
Coronary angiography showing circumflex artery with extensive atherosclerosis without significant lesions permeable stent and calcified right coronary artery with ostial chronic total occlusion.
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Medizin, Klinische Medizin, Allgemeinmedizin, Innere Medizin, Kardiologie, Kinder- und Jugendmedizin, Kinderkardiologie, Chirurgie, Herzchirurgie
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