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93-Jährige mit massiven Blutdruck-Entgleisungen

Praxisfall schwere Hypertonie

A 93 year old patient with hypertensive crises and renal failure due to bilateral renal artery stenosis

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MMW - Fortschritte der Medizin Aims and scope

Bei einer 93-jährigen Patientin mit bekannter arterieller Hypertonie waren unter vorbestehender häuslicher Medikation mit Carvedilol (50 mg/Tag) und Ramipril (5 mg/Tag) erhöhte Blutdruckwerte von über 200 mmHg systolisch in der Eigenmessung an mehreren Tagen aufgetreten. Die Patientin stellte sich aus diesem Grund beim Hausarzt vor.

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Literatur

  1. Beckett NS, Peters R, Fletcher AE, Staessen JA, Liu L, Dumitrascu D, Stoyanovsky V, Antikainen R, Nikitin Y, Anderson C, Belhani A, Forette F, Rajkumar C, Thijs L, Banya W, Bulpitt CJ, for the HYVET Study Group. Treatment of Hypertension in Patients 80 Years of Age or Older. N Engl J Med 2008; 358:1887–1898.

    Article  CAS  PubMed  Google Scholar 

  2. Bax L, Woittiez AJ, Kouwenberg HJ, Mali WP, Buskens E, Beek FJ, Braam B, Huysmans FT, Schultze Kool LJ, Rutten MJ, Doorenbos CJ, Aarts JC, Rabelink TJ, Plouin PF, Raynaud A, van Montfrans GA, Reekers JA, van den Meiracker AH, Pattynama PM, van de Ven PJ, Vroegindeweij D, Kroon AA, de Haan MW, Postma CT, Beutler JJ. Stent placement in patients with atherosclerotic renal artery stenosis and impaired renal function: a randomized trial. Ann Intern Med. 2009; 150(12):840–8.

    Article  PubMed  Google Scholar 

  3. The ASTRAL Investigators. Revascularization versus Medical Therapy for Renal-Artery Stenosis. N Engl J Med 2009; 361:1953-1962.

  4. Cooper CJ, Murphy TP, Cutlip DE, Jamerson K, Henrich W, Reid DM, Cohen DJ, Matsumoto AH, Steffes M, Jaff MR, Prince MR, Lewis EF, Tuttle KR, Shapiro JI, Rundback JH, Massaro JM, D’Agostino RB, Dworkin LD, M.D. for the CORAL Investigators. Stenting and Medical Therapy for Atherosclerotic Renal-Artery Stenosis. N Engl J Med 2014; 370:13–22.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Miryana Mircheva.

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Mircheva, M., Rathmann, N., Diehl, S. et al. Praxisfall schwere Hypertonie. MMW - Fortschritte der Medizin 157, 45–47 (2015). https://doi.org/10.1007/s15006-015-3729-3

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  • DOI: https://doi.org/10.1007/s15006-015-3729-3

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