Concluded Case

Hypertension

patient aged 39y presents with sweating and palpitations his BP 240/130 ECG and ECHO normal hbaic 5.7 no dyslipedemia renal functions normal usg abdomen no adrenal tumour Renal doppler left renal artery stenosis 24 hour urine VMA and metanephrines result awaited now patient on cilacar 10mg BD but his bp not reducing after giving ARB it came to 160/100 any additional line of management

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Concluded answer
Renal artery stenosis is causative factor for uncontrolled hypertension It will require stenting of renal artery and than probably no antihypertensive will be needed This is one such situation where you can presume reversal of disease and cure Meanwhile keep him on metaprolol+amylodipine+ARB+diuretcs
All Answers
Renal artery stenosis is causative factor for uncontrolled hypertension It will require stenting of renal artery and than probably no antihypertensive will be needed This is one such situation where you can presume reversal of disease and cure Meanwhile keep him on metaprolol+amylodipine+ARB+diuretcs
Thanks sir ARB is contraindicated in renal artery stenosis I think it's only bilateral Not in this case?
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It seems to be Renal hypertension. And as Dr.Shivrajji has posted stenting of renal arteries would solve the problem of hypertension.
Thanks sir ARB is safe?
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