Journal article
Cracking the Code: A Case Report on Low-Renin Hypertension
Curēus (Palo Alto, CA), v 16(7), 65335
25 Jul 2024
PMID: 39184766
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Low-renin hypertension (LRH) is characterized by hypertension accompanied by low serum renin levels. LRH is a spectrum, including low-renin essential hypertension (LREH), primary hyperaldosteronism, and several acquired or familial secondary forms. Here, we present a case of LRH. A 57-year-old female with resistant hypertension on multiple antihypertensive medications presented for blood pressure management. Workup for secondary causes of hypertension revealed low renin levels with normal aldosterone. The patient was initiated on spironolactone and responded quickly with normal blood pressure on a follow-up visit. LRH is an under-recognized etiology for uncontrolled hypertension. It can be secondary to several different causes. Although treatment of LREH is essentially the same as regular patients, these patients tend to respond well to sodium-volume-depleting diuretics, mineralocorticoid receptor blockers, and epithelial sodium channels (ENaC) blockers.
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Details
- Title
- Cracking the Code: A Case Report on Low-Renin Hypertension
- Creators
- Fawwad A. Ansari - Piedmont Athens RegionalBilal Hamid - Piedmont Athens RegionalInemesit Akpan - Piedmont Athens RegionalGhida Akhdar - Piedmont Athens RegionalMuhammad Umer Riaz Gondal - Piedmont Athens Regional
- Publication Details
- Curēus (Palo Alto, CA), v 16(7), 65335
- Publisher
- Springer Nature
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- General Internal Medicine
- Web of Science ID
- WOS:001280328900009
- Other Identifier
- 991022193871704721
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- Collaboration types
- International collaboration
- Web of Science research areas
- Peripheral Vascular Disease