title: Development of chronic heart failure in a young woman with hypertension associated with renal artery stenosis with preserved renal function.
abstract: A 33-year-old woman with presumed essential hypertension and symptoms equivalent to New York Heart Association class II was suspected of heart failure and referred to echocardiography. The patient's ECG showed a left bundle branch block. Electrolytes, serum creatinine and estimated-glomerular filtration rate as well as urine test for protein were all normal. The patient had no peripheral oedema. The transthoracic echocardiography confirmed systolic and diastolic dysfunction and an ejection fraction of 25% and left ventricular hypertrophy. Ultrasound of renal arteries and renal CT angiography (renal CTA) revealed a significant stenosis and an aneurysm corresponding to the right renal artery with challenges to traditional interventions.
authors.affiliation: Department of Cardiology, Glostrup Hospital, Glostrup, Denmark.
authors.forename: Christina
authors.initials: C
authors.lastname: Byrne
authors.affiliation: Department of Cardiology, Glostrup Hospital, Glostrup, Denmark.
authors.forename: Jawdat
authors.initials: J
authors.lastname: Abdulla
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000150:complications*; D002037:Bundle-Branch Block; D003251:Constriction, Pathologic; D000075222:Essential Hypertension; D005260:Female; D005919:Glomerular Filtration Rate; D006333:Heart Failure / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D006352:Heart Ventricles / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D017379:Hypertrophy, Left Ventricular; D007668:Kidney / Q000473:pathology*; D012077:Renal Artery / Q000473:pathology*; D012078:Renal Artery Obstruction / Q000150:complications*; D013318:Stroke Volume; D018487:Ventricular Dysfunction, Left