[Resistant hypertension: a case report].
A 72-years-old man, having 230-210/110-90 mmHg with a 5-drugs antihypertensive regimen, was diagnosed with an aldosterone-producing adenoma. Blood pressure values remained elevated in spite of spironolactone therapy and surrenectomy, possibly because of renal insufficiency and vascular damage subsequent to long-term uncontrolled hypertension.
Bruno
Rosa Maria
RM
Dipartimento di Medicina Interna, Ospedale Santa Chiara, Università, Pisa. rosam.bruno@gmail.it
Ghiadoni
Lorenzo
L
Mazzi
Valeria
V
Taddei
Stefano
S
D000306:Adrenal Cortex Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D018246:Adrenocortical Adenoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000368:Aged; D000959:Antihypertensive Agents / Q000494:pharmacology / Q000627:therapeutic use; D018660:Blood Pressure Monitoring, Ambulatory; D006801:Humans; D006929:Hyperaldosteronism / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D008297:Male; D016896:Treatment Outcome
D000959:Antihypertensive Agents