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Scientific paper - Original scientific paper
Carotid endarterectomy unexpectedly resulted in optimal blood pressure control
Collegium Antropologicum, 33 (2009), 4; 1229-1231. urn:nbn:hr:105:992502
Kirin, Ivan; Kirin, Marijan; Sičaja, Mario; Missoni, Saša; Pehar, Mario; Prka, Željko ; Špoljarić, Marko; Božikov, Velimir

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Kirin, I., Kirin, M., Sičaja, M., Missoni, S., Pehar, M., Prka, Ž. ... Božikov, V. (2009). Carotid endarterectomy unexpectedly resulted in optimal blood pressure control . Collegium Antropologicum, 33. (4), 1229-1231. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:992502

Kirin, Ivan, et al. "Carotid endarterectomy unexpectedly resulted in optimal blood pressure control ." Collegium Antropologicum, vol. 33, no. 4, 2009, pp. 1229-1231. https://urn.nsk.hr/urn:nbn:hr:105:992502

Kirin, Ivan, Marijan Kirin, Mario Sičaja, Saša Missoni, Mario Pehar, Željko Prka, Marko Špoljarić and Velimir Božikov. "Carotid endarterectomy unexpectedly resulted in optimal blood pressure control ." Collegium Antropologicum 33, no. 4 (2009): 1229-1231. https://urn.nsk.hr/urn:nbn:hr:105:992502

Kirin, I., et al. (2009) 'Carotid endarterectomy unexpectedly resulted in optimal blood pressure control ', Collegium Antropologicum, 33(4), pp. 1229-1231. Available at: https://urn.nsk.hr/urn:nbn:hr:105:992502 (Accessed 15 July 2024)

Kirin I, Kirin M, Sičaja M, Missoni S, Pehar M, Prka Ž, and sur.. Carotid endarterectomy unexpectedly resulted in optimal blood pressure control . Collegium Antropologicum [Internet]. 2009 December [cited 2024 July 15];33(4):1229-1231. Available at: https://urn.nsk.hr/urn:nbn:hr:105:992502

I. Kirin, et al., "Carotid endarterectomy unexpectedly resulted in optimal blood pressure control ", Collegium Antropologicum, vol. 33, no. 4, pp. 1229-1231, December 2009. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:992502. [Accessed: 15 July 2024]

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Metadata
Title (english)Carotid endarterectomy unexpectedly resulted in optimal blood pressure control
Title (croatian)Karotidna endarterektomija neočekivano rezultirala optimalnom kontrolom tlaka
AuthorIvan Kirin
AuthorMarijan Kirin
AuthorMario Sičaja
AuthorSaša Missoni
AuthorMario Pehar
AuthorŽeljko Prka
AuthorMarko Špoljarić
AuthorVelimir Božikov
Author's institutionUniversity of Zagreb
School of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
Resistant hypertension is defined as hypertension that remains above 140/90 mmHg despite the provision of three or more antihypertensive drugs in a rational combination at full doses and including a diuretic. It is associated with adverse clinical outcome and therefore requires aggressive medical treatment. We present a case of 70-year-old woman who was treated for resistant hypertension with a diuretic, ACE-inhibitor, calcium channel blocker, and with centrally acting antihypertensive, moxonodine. Despite of aggressive medical treatment her blood pressure remained above 160/90 mmHg continuously. Large diagnostic workup excluded common causes of secondary hypertension, but revealed significant carotid stenosis present on left internal carotid artery. Carotid endarterectomy was performed in order to improve cerebrovascular prognosis, but unexpectedly resulted in optimal control of her blood pressure. Two months after operation patient was on only one antihypertensive drug, having blood pressure below 130/85 mmHg. We suggest that in selected patients resistant hypertension could be associated with carotid stenosis and carotid sinus baroreceptor dysfunction. For definite conclusions further studies are warranted.
Abstract (croatian)
Rezistentna hipertenzija definirana je kao povišeni krvni tlak iznad 140/90 mmHg unatoč liječenju sa tri ili više antihpertenziva u racionalnoj kombinaciji uz uključeni diuretik. Asocirana je sa nepovoljnom kliničkom prognozom i zahtjeva agresivno liječenje. Prezentiramo slučaj 70-godišnje bolesnice koja je liječena od rezistentne hipertenzije sa diuretikom, ACE-inhibitorom, blokatorom kalcijskih kanala uz centralno djelujući antihipertenziv, moksonidin. Unatoč agresivnom liječenju njezin je tlak bio kontinuirano iznad 160/90 mmHg. Opsežna dijagnostička obrada isključila je uobičajene uzroke sekundarne hipertenzije, ali je otkrila značajnu stenozu lijeve karotide. Učinjena je karotidna endarterektomija sa ciljem da se poboljša cerebrovaskularna prognoza bolesnice, a kao neočekivani postoperativni nalaz javila se normotenzija bolesnice. Na temelju kliničke opservacije sugeriramo da u selekcioniranih bolesnika rezistentna hipertenzija može biti asocirana sa stenozom karotide i disfukcijom karotidnih baroreceptora. Za definitivne zaključke potrebne su kliničke studije.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCollegium Antropologicum
Numberingvol. 33, no. 4, pp. 1229-1231
p-ISSN0350-6134
URN:NBNurn:nbn:hr:105:992502
Publication2009-12
Document URLhttps://hrcak.srce.hr/51504
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-03-28 11:37:12