Hypertension with Metabolic Alkalosis and Hypokalaemia– Could it be Aldosterone?

A rare cause of hypokalaemia and metabolic alkalosis

A 72-year-old man with a medical history of diabetes mellitus Type II, paroxysmal atrial fibrillation and heart failure was hospitalized after a syncope. Pitting oedema in both legs were the only abnormal finding on physical examination, in particular the patient had no cushinoid features. The blood pressure was slightly elevated at 160/90 mmHg. Regular medications consisted of furosemid 100 mg...

Could it be a secondary hypertension?

• No family history of hypertension in a thin child • Age younger than 10 years and prepubertal stage • Acute rise in blood pressure previously normal • Severe hypertension (SBP/DBP ≥ 99th percentile plus 5 mmHg) • Mild hypertension (SBP/DBP ≥ 95th percentile plus 5 mmHg) in systemic disease • Nocturnal hypertension, reduced nocturnal dipping or diastolic hypertension at 24-hour BP monitoring •...

Could It Be a Novel Target for Neurogenic Hypertension?

Several decades of investigation have provided unequivocal support for the existence of an intrinsic brain reninangiotensin (Ang) system (RAS) and its involvement in the control of cardiovascular functions.1,2 Essential components of the RAS, ie, renin, angiotensinogen, Ang-converting enzyme, Ang-converting enzyme 2, type 1 Ang II, and type 2 Ang II receptors, as well as various aminopeptidases...

Effect of amiloride on metabolic alkalosis and hypokalaemia after cardiopulmonary bypass surgery.

This study was undertaken to investigate the effects of the potassium-retaining diuretic, amiloride, on the potassium balance and on the alkalosis which occurs in patients after open-heart surgery. Patients who had had valve replacement operations were divided randomly into two groups, one of which received Io mg amiloride daily in the postoperative period. Patients who were given amiloride nee...

Could it be Lyme neuroborreliosis?