<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>Polyvascular disease affects up to 20% of atherosclerotic patients and portends a significantly higher cardiovascular risk, especially in terms of ischemic events. Therapeutic options mainly focus on aggressive pharmacotherapy and risk factor control. We present the case of a male obese patient with coronary artery disease, chronic renal disease, and refractory hypertension who underwent serial contrast imaging to document the extent and severity of his systemic atherosclerosis and was consequently referred for cardiovascular surgery to address total occlusion of the abdominal aorta. We further discuss specific features complicating the medical management of patients with severe hypertension, extensive atherosclerosis, and renal disease.</p>
</abstract>

Polyvascular disease affects up to 20% of atherosclerotic patients and portends a significantly higher cardiovascular risk, especially in terms of ischemic events. Therapeutic options mainly focus on aggressive pharmacotherapy and risk factor control. We present the case of a male obese patient with coronary artery disease, chronic renal disease, and refractory hypertension who underwent serial contrast imaging to document the extent and severity of his systemic atherosclerosis and was consequently referred for cardiovascular surgery to address total occlusion of the abdominal aorta. We further discuss specific features complicating the medical management of patients with severe hypertension, extensive atherosclerosis, and renal disease.

The Never-Ending Story of Complicated Hypertension

Carol Davila University of Medicine and Pharmacy Bucharest

Romanian Journal of Cardiology

This work is licensed under the Creative Commons Attribution 4.0 International License.

{"article-title":"The Never-Ending Story of Complicated Hypertension"}

Polyvascular disease affects up to 20% of atherosclerotic patients and portends a significantly higher cardiovascular risk, especially in terms of ischemic...

The Never-Ending Story of Complicated Hypertension

Article Category: Case Report

Online veröffentlicht: 19. Aug. 2022

Seitenbereich: 113 - 119

DOI: https://doi.org/10.2478/rjc-2022-0015

Schlüsselwörter
resistant hypertension, polyvascular disease, chronic renal disease

© 2022 Emma Weiss et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

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The Never-Ending Story of Complicated Hypertension

Article Category: Case Report

Online veröffentlicht: 19. Aug. 2022

Seitenbereich: 113 - 119

DOI: https://doi.org/10.2478/rjc-2022-0015

Schlüsselwörterresistant hypertension, polyvascular disease, chronic renal disease

© 2022 Emma Weiss et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

Schlüsselwörter
resistant hypertension, polyvascular disease, chronic renal disease