A Case Study on Severe Hypertension

Authors

  • Satvik pandey Amity Institute of Pharmacy, Amity University Uttar Pradesh, Lucknow, India

DOI:

https://doi.org/10.54060/pd.2023.4

Keywords:

Secondary hypertension, Adolescents, CoA

Abstract

Secondary hypertension has a wide range of causes, and these causes change with age. The most common cause of secondary hypertension in teenagers is Coarctation of the Aorta (CoA), still it's frequently overlooked. Then, we present a case of elevated blood pressure caused by CoA. The case, a manly case aged 17, was brought into our sanitarium due to unbridled high blood pressure. We especially estimated CoA. On the basis of a Thoracic aorta CTA and the rejection of other possible judgments, CoA was determined to be the opinion in this case. The case had a stent implanted while having their blood pressure continuously checked. Depending on the situation, antihypertensive specifics were utilized. After surgery, a little cure of antihypertensive drug might be given to keep blood pressure within normal range. This paper serves as a memorial to keep an eye out for conditions with low prevalence, similar to CoA. According to the case’s typical signs and symptoms, croakers should test for secondary hypertension reasons to help missing the opinion of CoA. Cases admit better care to maximize their advantages. The study has main contributions such as- A significant threat factor for metabolic and cardiovascular diseases is hypertension. Primary hypertension and secondary hypertension are the two types of hypertensions. Compared to original hypertension, secondary hypertension is more dangerous. Here in this study, firstly there is an introduction regarding the case study i.e., of hypertension then there is case presentation which includes two tables about the case. Then comes the discussion of the topic which is explained by the figures. And finally, the conclusion shows that sec-ondary hypertension is more dangerous.

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References

Worldwide trends in blood pressure from 1975 to 2015: A pooled analysis of 1479 population-based measurement studies with 19.1 million participants. Lancet. 2017;389:37–55.

Pappadis SL, Somers MJG. Hypertension in adolescents: a review of diagnosis and management. Curr Opin Pediatr [Internet]. 2003;15(4):370–8. Available from: http://dx.doi.org/10.1097/00008480-200308000-00003

Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Himmelfarb D. PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: A report of The American College of Cardiolo-gy/American Heart Association Task Force On Clinical Practice Guidelines. Hypertension. 2017;71(6):e13-15.

Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the man-agement of arterial hypertension: The Task Force for the management of arterial hypertension of the European Soci-ety of Cardiology and the European Society of Hypertension. J Hypertens [Internet]. 2018;36(10):1953–2041. Available from: http://dx.doi.org/10.1097/hjh.0000000000001940

Backer CL, Mavroudis C. Congenital heart surgery nomenclature and Database project: Patent ductus arteriosus, co-arctation of the aorta, interrupted aortic arch. Ann Thorac Surg. 2000;69(4):S298-307.

Teo LLS, Cannell T, Babu-Narayan SV, Hughes M, Mohiaddin RH. Prevalence of associated cardiovascular abnormali-ties in 500 patients with aortic coarctation referred for cardiovascular magnetic resonance imaging to a tertiary cen-ter. Pediatr Cardiol [Internet]. 2011;32(8):1120–7. Available from: http://dx.doi.org/10.1007/s00246-011-9981-0

Campbell M. Natural history of coarctation of the aorta. Br Heart J [Internet]. 1970;32(5):633–40. Available from: http://dx.doi.org/10.1136/hrt.32.5.633

Davis A, Stafford J, Wilson G, Costa S. A delayed diagnosis of aortic coarctation. Proc (Bayl Univ Med Cent) [Internet]. 2019;32(4):559–60. Available from: http://dx.doi.org/10.1080/08998280.2019.1646593

Fleming S, Lefranc Y, Rodway G, Wilson BA. Secondary hypertension in a migrant farm worker: a case report of coarc-tation of the aorta. J Am Acad Nurse Pract [Internet]. 2002;14(1):34–7. Available from: http://dx.doi.org/10.1111/j.1745-7599.2002.tb00068.x

Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA, et al. ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: A report of the American college of cardiology/American heart association task force on practice guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease). Developed in collaboration with the American society of echocardiography, heart rhythm society, international society for adult congenital heart disease, society for cardiovascular angiography and interventions, and society of thoracic surgeons. J Am Coll Cardiol [Internet]. 2008;52(23):e143-263. Available from: http://dx.doi.org/10.1016/j.jacc.2008.10.001

Muzzarelli S, Meadows JJ, Ordovas KG, Hope MD, Higgins CB, Nielsen JC, et al. Prediction of hemodynamic severity of coarctation: a magnetic resonance imaging-based prediction tree. J Cardiovasc Magn Reson [Internet]. 2011;13(S1):P197. Available from: http://dx.doi.org/10.1186/1532-429x-13-s1-p197

Ungerleider RM, Pasquali SK, Welke KF, Wallace AS, Ootaki Y, Quartermain MD, et al. Contemporary patterns of sur-gery and outcomes for aortic coarctation: an analysis of the Society of Thoracic Surgeons Congenital Heart Surgery Database. J Thorac Cardiovasc Surg [Internet]. 2013;145(1):150–7; discussion 157-8. Available from: http://dx.doi.org/10.1016/j.jtcvs.2012.09.053

Iimura O, Shimamoto K, Hotta D, Nakata T, Mito T, Kumamoto Y, et al. A case of adrenal tumor producing renin, al-dosterone, and sex steroid hormones. Hypertension. 1986;8:951–6.

Gonzalez R, Morales E, Segura J, Ruilope LM, Praga M. Long-term renal survival in malignant hypertension. Nephrol Dial Transplant. 2010;25:3266–72.

Close, C. F., W. Yeo, and L. E. Ramsay. 1991. The association between hemispherical and severe hypertension. Post-grad. Med. J. 67:157–158.

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Published

2023-12-05

How to Cite

1.
Satvik pandey. A Case Study on Severe Hypertension. Int. J. Pathol. Drugs [Internet]. 2023 Dec. 5 [cited 2024 Dec. 5];1(1):31-6. Available from: https://pd.a2zjournals.com/index.php/pd/article/view/4

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Review Article