Hypertension and polycythaemia rubra vera commonly occur in the same patient. This is regarded as coincidence and the hypertension does not respond to correction of polycythaemia. We report a case of renal artery stenosis occurring simultaneously with polycythaemia rubra vera and suggest that renovascular occlusive disease should be excluded in such patients with refractory hypertension.

Kidney artery aneurysms are a rare phenomenon with prevalence of 0.01%-1% in the general population. Although historical series describe rupture rates 14% to 30% mortality rate 80%, natural history kidney is currently characterized by low risk and slow nonexistent growth rate. Criteria for repair have been controversial decades include aneurysm size > 2 cm, female sex, symptoms such as drug-...

Resistant hypertension is currently defined as uncontrolled blood pressure despite the use of optimal doses three antihypertensive medications, which one a diuretic. Several factors have been identified contributors to resistant such poor patient adherence, physician inertia, inadequate or inappropriate combinations drugs, excess alcohol intake, certain drugs and volume overload. Uncontrolled c...

To study the Sustained Low Efficiency Dialysis (SLED) in treatment of end-stage renal disease with refractory heart failure and clinical curative effect hypertension. choose department Nephrology, third People's Hospital Gansu Province 54 cases failure. The patients intractable hypertension were randomly divided into control group observation group, 27 each group. was treated Intermittent HemoD...

Primary hyperaldosteronism is described in a 27-year-old Brazilian woman from an endemic area of schistosomiasis. She presented with hypokalaemia, cramps and polyuria, refractory hypertension, plasma aldosterone of 40.7 ng/dL and aldosterone/renin activity ratio higher than 100, due to an associated long-standing unsuspected aldosteronoma. Computed tomography showed a well-defined ovoid right a...

The relationships between pulmonary hypertension multiple myeloma, monoclonal protein and finally drug treatment of plasma cell diseases are complex and not fully elucidated. Pulmonary hypertension has been reported as a rare complication of multiple myeloma (MM), more frequently in patients with POEMS syndrome. More recently pulmonary hypertension has been described during thalidomide treatmen...

OBJECTIVE To analyze factors associated with intracranial hypertension in pediatric patients who suffered severe head injuries. METHODS Retrospective cohort study, with data collected from September 1998 through August 2003, including patients aged 0 to 16 who suffered severe head injuries, Glasgow score < 9, and submitted to intracranial pressure (ICP) monitoring (n = 132). Intracranial hype...