Open Access
CC BY-NC-ND 4.0 · Ibnosina Journal of Medicine and Biomedical Sciences 2013; 05(01): 39-44
DOI: 10.4103/1947-489X.210522
Case Report

A 36 year old woman with “difficult-to-treat” hypertension: Endocrine or resistant hypertension?

Autor*innen

  • Alaaeldin Bashier

    Division of Endocrinology, Department of Medicine, Dubai Hospital, Dubai, United Arab Emirates
  • Fatheya Al Awadi

    Division of Endocrinology, Department of Medicine, Dubai Hospital, Dubai, United Arab Emirates
  • Puja Thadani

    Division of Endocrinology, Department of Medicine, Dubai Hospital, Dubai, United Arab Emirates
  • Azza Khalifa

    Division of Endocrinology, Department of Medicine, Dubai Hospital, Dubai, United Arab Emirates

A thirty six year old Emirati female who had had hypertension for 5 years is presented. Her blood pressure has been consistently above 160/110 mmHg, despite being treated with more than 5 antihypertensive drugs. Work up for secondary hypertension was repeatedly negative locally and at two world-renowned endocrine units in London. Ultimately, she underwent “catheter guided renal sympathectomy”, which resulted in good blood pressure control readily achievable on single antihypertensive agent. The diagnostic and management challenges of the case are presented and the efficacy of the therapeutic procedure in treating resistant hypertension is discussed. We also appraise the evidence-base for potential place of this procedure in the current guidelines for management of hypertension.



Publikationsverlauf

Eingereicht: 01. Juni 2012

Angenommen: 22. Juli 2012

Artikel online veröffentlicht:
07. Juli 2022

© 2013. The Libyan Authorityof Scientific Research and Technologyand the Libyan Biotechnology Research Center. All rights reserved. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License,permitting copying and reproductionso long as the original work is givenappropriate credit. Contents may not be used for commercial purposes, oradapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India