Tag Archives: Hypertension
Photograph of the ulcer extending outward from the left nasal ala.

Unmasking a Hidden Cause of Persistent Facial Ulceration: The Relevancy of a Neurologic Examination

Upon presentation, the patient was afebrile and hypertensive to 199/81 mm Hg. Physical examination revealed prominent tender left-sided preauricular and submandibular lymphadenopathy and a linear crusted ulcer with jagged edges extending from the inferior aspect of the medial left eyebrow to the left nasolabial fold (Figure 1). Neurologic examination was notable for left-sided ptosis and miosis, […]

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Resting gradient 60 mm Hg increasing to 87 mm Hg with Valsalva maneuver.

Recurrent Syncope: An Unusual Complication of Hypertensive Heart Disease

To the Editor: Syncope accompanied by outflow tract obstruction most commonly is associated with obstructive forms of hypertrophic cardiomyopathy. Outflow tract obstruction also may be seen in select diseases that cause ventricular hypertrophy, including aortic valve replacement for aortic valve stenosis, myocardial infarction, and pheochromocytoma. Initially described by Brock, there have been several reports of hypertension implicated […]

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Apical 4-chamber view obtained by 2-dimensional echocardiography. White arrows mark the borders of the epicardial tumor masses infiltrating the lateral wall of the right ventricle and the right atrium. LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle.

Cardiac Myeloid Sarcoma: Multimodality Radiologic Imaging Features and Pathologic Correlation

A 69-year-old man presented to our hospital with shortness of breath and cough. He had a history of essential hypertension but no known significant cardiovascular or pulmonary disease. Almost 1 year before the patient was diagnosed with acute myeloid leukemia with detectable mutations of the nucleophosmin 1 (NPM1) and FLT3 internal tandem duplication (FLT3-ITD) gene. […]

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Hands

A Diagnosis at Hand: Pulmonary Arterial Hypertension

A classic physical examination finding pointed to underlying disease in a 43-year-old Hispanic woman. On presenting to the Emergency Department, she reported progressive shortness of breath, fatigue, and chest pressure. One month earlier, she could exercise without limitation. However, in the ensuing interval, she developed increasing dyspnea and constant, nonexertional, left-sided chest pressure. A review […]

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Resistant Hypertension and the Pivotal Role for Mineralocorticoid Receptor Antagonists: A Clinical Update 2016

Clinical features of resistant hypertension are described, and the importance of several risk factors undergoing clinical investigation and reappraisal are considered in this review. True resistant hypertension must be distinguished from apparent resistant hypertension, of which important causes include medication nonadherence, illicit drug use, and alcoholism. Ambulatory blood pressure monitoring should be considered to rule out […]

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pregnant woman getting her blood pressure taken

Dissecting the Dilemma: Uncontrolled Hypertension in a Pregnant Patient

A 27-year-old G4P1021 African American woman presented at 9 weeks’ gestation with elevated blood pressure. The patient was otherwise asymptomatic, denying headache, vision changes, chest pain, shortness of breath, or neurologic symptoms. Her previous pregnancies were uncomplicated, with no history of hypertensive disorders of pregnancy. She had a 2-year history of chronic hypertension but had […]

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