Vol. 6 (09) pp. 679-685 DOI: 10.21474/IJAR01/7724

MASKED HYPERTENSION IN A VERY HIGH CARDIOVASCULAR RISK PATIENT: A CASE REPORT WITH REVIEW OF LITERATURE.

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  • PhD Associate Professor and Chief of the Internal Medicine Department at the Petre Shotadze Tbilisi Medical Academy. Invited professor at the Tbilisi State Medical University. Chief of the Arterial Hypertension Center at the Alexander Aladashvili Clinical Hospital. Tbilisi, Georgia. Assistant Professor at the Tbilisi State Medical University. Tbilisi, Georgia. PhD. Affiliation: Professor, Chief of the 3rd Department of Internal Medicine at the Tbilisi State Medical University. Tbilisi, Georgia
  • PhD. Associate Professor at the Tbilisi State Medical University. Tbilisi, Georgia.
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Abstract

Masked hypertension is considered as one of the most important and difficult to diagnose issues of modern cardiology. Its occurrence frequency still remains a mystery. Masked hypertension cannot be diagnosed by routine medical examinations and carries an adverse prognosis, both in terms of increased target organ damage and cardiovascular events. We report a case of a 68 years old Caucasian female with a masked hypertension and lumbar hernia, who was referred to our hospital for further management in May, 2014. Patient?s past medical history was remarkable for generalized atherosclerosis and 7-year history of type 2 diabetes mellitus. In March 2013 she was diagnosed with STEMI and was undergone to the CABG surgery. In 6 months from the CABG surgery patient underwent to the endovascular treatment of Leriche\\\'s syndrome and one aortic and two iliac stents were placed. Patient was considered as a normotensive through years according to the multiple office blood pressure measurements; hence, she was not on an antihypertensive treatment. Very high cardiovascular risk profile played a crucial role for us to suspect about existence of masked uncontrolled hypertension and 24 hour blood pressure monitoring was performed. Diagnosis of hypertension was confirmed. Arterial hypertension is considered as a leading risk-factor for cardiovascular morbidity and mortality and is associated with the increased level of global mortality; hence, to reveal existence of masked hypertension, to start adequate and early treatment and reach diurnal as well as long-term control is crucial to avoid future severe and life-threatening complications.

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How to Cite This Article

Anna Rekhviashvili, Tamar Giorgobiani , David Gordeladze and Tamar Kandashvili, (2018); MASKED HYPERTENSION IN A VERY HIGH CARDIOVASCULAR RISK PATIENT: A CASE REPORT WITH REVIEW OF LITERATURE., International Journal of Advanced Research (IJAR), 6 (09), 679-685, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/7724

Corresponding Author

Ann Rekhviashvili
Associate Professor and Chief of the Internal Medicine Department at the Petre Shotadze Tbilisi Medical Academy

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