Document Detail

Renovascular hypertension in infant presenting with cardiogenic shock.
MedLine Citation:
PMID:  15874816     Owner:  NLM     Status:  MEDLINE    
A 35-day-old infant admitted with cardiogenic shock was hypertensive shortly after initial resuscitation therapy. The hypertension did not respond to increasing doses of sodium nitroprusside. An abnormal blood flow in the right renal artery was detected by pulsed Doppler ultrasonography, and a prompt blood pressure response to oral captopril suggested a diagnosis of renovascular disease. Renal angiography showed right main renal artery stenosis, abnormal intrarenal arteries, and nonfunctional right kidney; the patient subsequently underwent right nephrectomy with good effect. Myocardial dysfunction resolved 2 months after control of the blood pressure.
Lubica Kovacikova; Pavol Kunovsky; Peter Skrak; Dusan Haviar; Peter Martanovic
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric emergency care     Volume:  21     ISSN:  1535-1815     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-05-05     Completed Date:  2006-06-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  322-4     Citation Subset:  IM    
Pediatric Cardiac Center, Bratislava, Slovak Republic.
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MeSH Terms
Hypertension, Renovascular / complications*
Shock, Cardiogenic / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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