A case of refractory hypertension in young age

  • Uzzwal Kumar Mallick Registrar, Department of Critical Care Medicine, NINSH, Sher-E Bangla Nagar, Agargaon, Dhaka-1207
  • Mohammad Asaduzzaman Assistant Registrar, Department of Critical Care Medicine, NINSH, Sher-E Bangla Nagar, Agargaon, Dhaka-1207
  • Silfat Azam Medical officer, Department of Critical Care Medicine, NINSH, Sher-E Bangla Nagar, Agargaon, Dhaka-1207
  • Md Shamsul Hoque Medical officer, Department of Critical Care Medicine, NINSH, Sher-E Bangla Nagar, Agargaon, Dhaka-1207
  • Masud Kabir Medical officer, Department of Critical Care Medicine, NINSH, Sher-E Bangla Nagar, Agargaon, Dhaka-1207
  • Farhana Mumtaz Medical officer, Department of Critical Care Medicine, NINSH, Sher-E Bangla Nagar, Agargaon, Dhaka-1207
  • Rafat Raihan Honorary medical officer, Department of Critical Care Medicine, NINSH, Sher-E Bangla Nagar, Agargaon, Dhaka-1207
  • Sakhawat Hossain Medical officer, Department of Critical Care Medicine, NINSH, Sher-E Bangla Nagar, Agargaon, Dhaka-1207
  • Kazi Ikramul Hoque Medical officer, Department of Critical Care Medicine, NINSH, Sher-E Bangla Nagar, Agargaon, Dhaka-1207
Keywords: Renal artery stenosis (RAS), refractory hypertension, fibromuscular dysplasia (FMD)

Abstract

Renal artery stenosis (RAS) is most common cause of secondary hypertension and accounts for approximately 1–3% of all causes of hypertension. Fibromuscular dysplasia (FMD) is important cause of RAS in young patients. Various therapeutic options are currently available for patients with renovascular hypertension: medical antihypertensive therapy, surgical revascularisation and transluminal angioplasty including stent implantation. We present in this report a female patient with left renal artery & left renal atrophy and segmental marked stenosis of supra renal aorta who presented with hypertensive encephalopathy & viral meningitis. Patient was successfully treated with antiviral agent.

Bangladesh Crit Care J September 2018; 6(2): 102-104

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Abstract
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PDF
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Published
2018-10-15
How to Cite
Mallick, U., Asaduzzaman, M., Azam, S., Hoque, M. S., Kabir, M., Mumtaz, F., Raihan, R., Hossain, S., & Hoque, K. (2018). A case of refractory hypertension in young age. Bangladesh Critical Care Journal, 6(2), 102-104. https://doi.org/10.3329/bccj.v6i2.38588
Section
Case Reports