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Journals / Anadolu Kardiyoloji Dergisi / 2002 / Cilt: 2 - Sayı: 1

Surgical treatment of essential hypertension resistant to medical treatment: Report of two cases

Medikal tedaviye dirençli esansiyel hipertansiyonda cerrahi tedavi: İki vakanın sunumu

Taner TANRIVERDİ
Rasim ENAR
Emin ÖZYURT
Şöhret Ali OĞUZOĞLU
Ahmet Hilmi KAYA
Dinçer UÇAK
Pages
40–44
Publication Date
2022-10-10
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Microvascular decompression of the left rostral ventrolateral medulla oblongata may be an effective modality in the treatment of "essential" hypertension.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: To demonstrate that microvascular decompression of the left medulla oblongata is a safe and effective treatment modality in the treatment of "essential" hypertension.
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Key Findings & Data:Indications for surgery included mainly systolic blood pressures greater than 180 mm Hg or uncontrolled blood pressures under three or more medications.
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Conclusion & Impact:Conclusion: Microvascular decompression of the left rostral ventrolateral medulla oblongata may be an effective modality in the treatment of "essential" hypertension.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: To demonstrate that microvascular decompression of the left medulla oblongata is a safe and effective treatment modality in the treatment of "essential" hypertension. Methods: Two patients with medically refractory hypertension underwent microvascular decompression of the left rostral ventrolateral medulla oblongata. Causes such as renal diseases, carcinoid syndrome, pheochromocytoma were ruled out before surgery. Indications for surgery included mainly systolic blood pressures greater than 180 mm Hg or uncontrolled blood pressures under three or more medications. Results: Both patients experienced more than 20 mm Hg reduction in systolic blood pressure although the number of medications was decreased after surgery. Conclusion: Microvascular decompression of the left rostral ventrolateral medulla oblongata may be an effective modality in the treatment of "essential" hypertension.

Özet

Amaç: Medikal tedaviye dirençli "esansiyel" hipertansiyon tedavisinde sol medulla oblongataya mikrovasküler dekompresyonunun güvenli ve etkili olduğunu göstermek. Yöntem: Medikal tedaviye dirençli iki hastaya cerrahi girişim uygulanarak sol rostral ventrolateral medulla oblongataya mikrovasküler dekompresyon uygulanmıştır. Cerrahiden önce hipertansiyona neden olabilecek diğer sebepler mesela, böbrek hastalıkları, karsinoid sendromu, feokromositom ekarte edilmiştir. Üç veya daha fazla ilaca rağmen 180 mmHg'dan yüksek sistolik kan basıncı veya kontrol altına alınamamış kan basıncı cerrahi endikasyonu oluşturmuştur. Bulgular: Her iki hastada da aldıkları ilaç sayısının azaltılmasına rağmen sistolik kan basınçlarında 20 mmHg'dan daha fazla düşme görüldü. Sonuç: Sol rostral ventrolateral medulla oblongatanın mikrovasküler dekompresyonu medikal tedaviye dirençli "esansiyel" hipertansiyonun tedavisinde etkili bir yöntem olabilir.

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Cite This Article

TANRIVERDİ, T., ENAR, R., ÖZYURT, E., OĞUZOĞLU, Ş. A., KAYA, A. H., UÇAK, D. (2022). Surgical treatment of essential hypertension resistant to medical treatment: Report of two cases. Anadolu Kardiyoloji Dergisi, Cilt: 2 - Sayı: 1, 40–44. https://ajindex.com/articles/437578

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