Case report, case study
https://doi.org/10.48188/hczz.2.2.11
Arterial Hypertension and Kidney Disease
Mario Podrug
; University of Split, University Department of Health Studies
Narcisse Nasri
; School of Medicine University of Zagreb
Jelena Kos
; Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation University Hospital Center Zagreb
Ivana Vuković-Brnar
; School of Medicine University of Zagreb, Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation University Hospital Center Zagreb
Mario Laganović
; School of Medicine University of Zagreb, Department of Nephrology University Hospital Merkur
Bojan Jelaković
; School of Medicine University of Zagreb, Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation University Hospital Center Zagreb, Croatian Academy of Sciences and Arts
Sandra Karanović Štambuk
orcid.org/0000-0003-2696-5305
; School of Medicine University of Zagreb, Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation University Hospital Center Zagreb
Abstract
Arterial hypertension and chronic kidney disease are mutually interconnected. Uncontrolled arterial hypertension along with diabetes is one of the two most common causes of end-stage chronic kidney disease. On the other hand, chronic kidney disease, as well as renal artery stenosis, results in the development of arterial hypertension. Hypertensive crisis with target-organ damage, also known as a hypertensive emergency, is a serious arterial hypertension complication which is however becoming less frequent. It requires urgent parenteral antihypertensive treatment adjusted to the values of arterial hypertension and accompanying clinical signs. Damage can manifest on numerous organ systems primarily eyes, brain, cardiovascular system, and the kidneys. This is a case report of a patient who presented with hypertensive crisis and kidney damage and was eventually diagnosed with abdominal aortic dissection expanding into the renal arteries, but without typical clinical presentation of stabbing pain. MSCT aortography, despite the risk of progression of renal damage due to the effect of contrast agent, allowed us to set definitive diagnosis and clarify the aetiology of kidney damage and resistant arterial hypertension.
Keywords
arterial hypertension; aortic dissection; chronic kidney disease; kidney disease; renal artery dissection; renal artery stenosis
Hrčak ID:
288106
URI
Publication date:
15.12.2022.
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