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The Never-Ending Story of Complicated Hypertension Cover

The Never-Ending Story of Complicated Hypertension

Romanian Journal of Cardiology
Volume 32 (2022): Issue 2 (June 2022)
By: Emma Weiss,  Gabriel Sica,  Ana Maria Balahura,  Cristina Japie,  Daniela Bartos,  Lucian Calmac,  Costin Minoiu,  Laurentiu Gulie and  Elisabeta Badila  
Open Access
|Aug 2022

Figures & Tables

Figure 1

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.

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.

Figure 4

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.

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.
DOI: https://doi.org/10.2478/rjc-2022-0015 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
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Language: English
Page range: 113 - 119
Published on: Aug 19, 2022
Published by: Romanian Society of Cardiology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
resistant hypertension,
polyvascular disease,
chronic renal disease
Related subjects:
Medicine,
Clinical medicine,
Internal medicine,
Cardiology,
Pediatrics and juvenile medicine,
Paediatric cardiology,
Surgery,
Cardiac surgery

© 2022 Emma Weiss, Gabriel Sica, Ana Maria Balahura, Cristina Japie, Daniela Bartos, Lucian Calmac, Costin Minoiu, Laurentiu Gulie, Elisabeta Badila, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.

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