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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