Table 1 Clinical features, manifestations, interventional treatment and antihypertensive medication use
From: Renal artery branch stenosis induced hypertension in children: a case series
Case number | 1 | 2 | 3 | 4 |
|---|---|---|---|---|
Gender | male | male | male | male |
Age(year) | 8.83 | 9.16 | 8.25 | 8.58 |
Days from onset to diagnosis(day) | 300 | 17 | 17 | 240 |
Maximal blood pressure(mmHg) | 170/80 | 180/140 | 150/116 | 220/150 |
Clinical symptoms | None | Dizziness Abdominal pain Vomiting | Dizziness Headache Vomiting | Headache Vomiting Loss of consciousness |
BMI (kg/m2) | 22.3 | 23.9 | 14.0 | 20.3 |
Renin (3.1-41.2uIU/ml) | 195.0 | 126.9 | 595.2 | None |
Target organ damage | Microalbuminuria LVH left atrial dilatation | None | LVH | Cerebral hemorrhage |
Renal ultrasound | Left: 9.3*4.5*3.7 cm right: 8.4*3.6*3.7 cm | Left: 8.7*4.6*4.7 cm right: 8.9*4.3*4.6 cm | Left: 8.6*4.0*3.1 cm right: 7.9*4.0*3.4 cm | None |
Invasive procedure | Selective renal artery angiography selective renal artery embolization | Selective renal artery angiography microcatheter dilation | Selective renal artery angiography | Selective renal artery angiography selective renal artery embolization |
Preoperative medicate | Captopril 25 mg Tid, Metoprolol succinate 47.5 mg Qd, Reserpine 0.25 mg Tid | Amlodipine 7.5 mg Qd, Captopril 25 mg Q8h, Prazosin 0.75 mg Q12h | Nifedipine 7.5 mg Tid, Captopril 12.5 mg Tid | Amlodipine 10 mg Qd, Captopril 25 mg Tid |
Postoperative medication | Captopril 50 mg Tid, Metoprolol succinate 47.5 mg Qd | Amlodipine 5 mg Qd, Captopril 25 mg Q8h | Amlodipine 5 mg Qd, Captopril 12.5 mg Tid | Amlodipine 10 mg Qd |
Postoperative blood pressure | Normal | Stage 1 | Stage 2 | Normal |