MASKED HYPERTENSION IN A VERY HIGH CARDIOVASCULAR RISK PATIENT: A CASE REPORT WITH REVIEW OF LITERATURE.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2018, Vol 6, Issue 9
Abstract
Masked hypertension is considered as one of the most important and difficult to diagnose issues of modern cardiology. Its occurrence frequency still remains a mystery. Masked hypertension cannot be diagnosed by routine medical examinations and carries an adverse prognosis, both in terms of increased target organ damage and cardiovascular events. We report a case of a 68 years old Caucasian female with a masked hypertension and lumbar hernia, who was referred to our hospital for further management in May, 2014. Patient?s past medical history was remarkable for generalized atherosclerosis and 7-year history of type 2 diabetes mellitus. In March 2013 she was diagnosed with STEMI and was undergone to the CABG surgery. In 6 months from the CABG surgery patient underwent to the endovascular treatment of Leriche\\\\\\\'s syndrome and one aortic and two iliac stents were placed. Patient was considered as a normotensive through years according to the multiple office blood pressure measurements; hence, she was not on an antihypertensive treatment. Very high cardiovascular risk profile played a crucial role for us to suspect about existence of masked uncontrolled hypertension and 24 hour blood pressure monitoring was performed. Diagnosis of hypertension was confirmed. Arterial hypertension is considered as a leading risk-factor for cardiovascular morbidity and mortality and is associated with the increased level of global mortality; hence, to reveal existence of masked hypertension, to start adequate and early treatment and reach diurnal as well as long-term control is crucial to avoid future severe and life-threatening complications.
Authors and Affiliations
Anna Rekhviashvili, Tamar Giorgobiani, David Gordeladze
Keywords
Related Articles
- EP ID EP400973
- DOI 10.21474/IJAR01/7724
- Views 49
- Downloads 0
TO STUDY THE PARENTAL INVOLVEMENT AMONG RURAL AND URBAN ADOLESCENTS.
?At the end of the day, the most overwhelming key to a child\'s success is the positive involvement of parents?. Jane D. Hull Children learn by copying what they see other people do. They are most influenced by the peopl...
AWARENESS OF ORGAN DONATION IN NEWLY ADMITTED STUDENTS OF MEDICAL COLLEGE: A CASE CONTROL STUDY IN WESTERN MAHARASHTRA.
Introduction: Organ transplantation is the process of replacing diseased organs, parts of organs or tissues by healthy organs or tissues. The only way to increase organ donations is to educate the health care professiona...
BARRIERS OF SUSTAINABLE LEAN CONSTRUCTION IMPLEMENTATION: HIERARCHICAL MODEL.
Adaptation of Lean construction ensures the likelihood of success and achieves the project objectives. Identifying the barriers of lean construction implementation is one effective way for adaption of lean construction i...
CLINICOPATHOLOGICAL STUDY OF NEOPLASTIC LARYNGEAL LESIONS IN A TERTIARY CARE HOSPITAL IN KASHMIR
Background:The larynx is affected by a range of benign and malignant lesions ,on account of its unique position in the upper respiratory tract which makes it vulnerable to many noxious stimuli. This study was undertaken...
CONTENT VALIDITY OF TECHNOLOGY INFORMATICS GUIDING EDUCATION REFORM (TIGER) ASSESSMENT INSTRUMENT FOR INFORMATICS COMPETENCIES OF GRADUATING NURSING STUDENT.
Informatics competencies assessment instrument developed by Technology Informatics Guiding Education Reform (TIGER) is an essential tool for appraising the graduating student nurses? competencies in nursing informatics....