Abstract Background In primary health care, especially in rural areas, non-standard treatment of hypertensive crises is still used. the present research study, we wanted to implement proven standards for uncomplicated crisis management based on baseline blood pressure. Purpose To explore clinical and hemodynamic efficiency urapidil captopril purpose a differentiated approach crisis. Methods The...

We report a case of pheochromocytoma-induced segmental myocardial dysfunction and electrocardiographic abnormalities mimicking an acute anterior myocardial infarction, probably due to coronary spasm. Coronary angiography showed normal coronaries, and the electrocardiographic and echocardiographic changes resolved completely after therapy with an alpha-adrenergic blocker and tumor removal. Our c...

Pheochromocytoma is a catecholamine-producing tumor and a rare cause of hypertension. Most cases are intra-adrenal and intrapericardial pheochromocytomas are extremely uncommon. We report the case of a 46-year-old woman with a 1-year history of hypertension, in which a right atrial pheochromocytoma was detected after a hypertensive crisis. 131I-metaiodobenzylguanidine scintigraphy and magnetic ...

Pheochromocytoma is a great mimicker and has varied presentation. It can present as medical emergency with hypertensive emergencies, acute cardiac event, neurological manifestations, systemic inflammatory response syndrome, acute respiratory distress syndrome, and metabolic emergencies. Here we report a young individual who after a bout of exercise developed breathlessness and rapidly developed...

antihypertensive agent was given intravenously and the procedure and recovery was uneventful. We do agree that MTP and tumor excision should have been done simultaneously or tumor excision before MTP but the patient due to personal reasons had initially refused surgical excision of tumor. Only after developing hypertensive crisis she and her relatives realized the severity of her disease and we...

Introduction: Protamine is widely used to reverse heparin. However, protamine administration may cause systemic hypotension, pulmonary hypertension, anaphylactic shock, and cardiovascular collapse. (1) In one recent pediatric study, the only reaction seen was systemic hypotension. This was associated with small heparin dose, large protamine dose, and female gender with an incidence of 1.76%-2.8...

Aortic dissection is a relatively uncommon and potentially misdiagnosed disease. Early and accurate diagnosis and also treatment for patient survival are required. We report at 62-years-old men with diagnosis of Stanford Type A acute aortic dissection misdiagnosed as a hypertensive crisis. He was promptly referred to surgery. According to retro-information of the surgical team, the patient died...

We describe 2 patients with intracranial hemorrhage after ingestion of diet pills containing phenylpropanolamine (PPA) in combination with caffeine. The first patient had bilateral simultaneous intracerebral hemorrhages, and the second had a subarachnoid hemorrhage. PPA is widely used most often without prescription and causes intracranial hemorrhage more often than has been realized. The mecha...

In this paper we discuss two infants and one child who experienced a previously unreported complication after complete correction of a large, unrestrictive ventricular septal defect. Two patients had documented pulmonary hypertensive crises and severe right-heart failure secondary to hypoxia and pulmonary vasoconstriction. These crises were associated with significantly increased right ventricu...

To cite: Park S-U, Lee S-J, Kim M. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013202890 DESCRIPTION A 35-year-old Asian man presented with acute vision loss in the right eye. On examination, the best corrected visual acuities were 20/50 in the right eye and 20/25 in the left eye. Anterior segment examination was normal, intraocular pressures were 18 mm Hg in...