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Table 1 Clinical Information of patients presenting with accelerated phase hypertension

From: Managing acute presentations of atheromatous renal artery stenosis

Patient

Presentation

Comorbidities

Clinical Features

Anatomy

Intervention

Response

2

55 yr old male referred for resistant htn

HTN, IHD, Previous TIA PVD, Smoker

BP: 152/105 mmHg on 3 agents with hypertensive retinopathy

MRA Rt: 90% (10.5 cm) L: 60% (10.5 cm)

Rt PTRAS (Fig. 1)

1 month: BP < 130/80 mmHg on 3 agents

6

57 yr female referred for resistant htn

HTN (age 20), Asthma Chronic pain syndrome

BP: 204/101 mmHg on 5 agents

MRA Rt: 90% L: 100% (< 7)

Rt PTRAS

1 month: BP < 130/80 mmHg on 3 agents

8

63 yr old male referred for resistant htn

HTN, COPD, Smoker HFrEF (24%)

BP: 201/107 mmHg on 5 agents

MRA Rt: 100%(7 cm) L: > 70% (10 cm)

L PTRAS

1 month: BP < 130/80 mmHg on 3 agents 4 months: EF ↑ 55%

  1. HTN hypertension, IHD ischaemic heart disease, TIA transient ischaemic attack, PVD peripheral vascular disease, BP blood pressure, MRA Magnetic Resonance Angiography, Rt right, L left, PTRAS percutaneous transluminal renal angioplasty with stenting, COPD chronic obstructive pulmonary disease, HFrEF heart failure with reduced ejection fraction, EF ejection fraction