Hyponatremic - Hypertensive Syndrome Associated With Renovascular Hypertension A Case Report

Yayoi Tsukada Tetsuou; Yoshiko Yamazaki Miyatake; Kunio Tanaka; Takeshi Suzuki; Fumio Ohtsu; Koichi Nagasawa; Masahiro Fuji-i; Shigeo Tanaka; Yasuhiko Iino; Koichi Tamura

doi:10.1253/circj.66.297

Case Report

Hyponatremic - Hypertensive Syndrome Associated With Renovascular Hypertension

A Case Report

Yayoi Tsukada Tetsuou, Yoshiko Yamazaki Miyatake, Kunio Tanaka, Takeshi Suzuki, Fumio Ohtsu, Koichi Nagasawa, Masahiro Fuji-i, Shigeo Tanaka, Yasuhiko Iino, Koichi Tamura

Author information

Yayoi Tsukada Tetsuou
Department of Internal Medicine Tama-Nagayama Hospital, Nippon Medical School
Yoshiko Yamazaki Miyatake
Department of Internal Medicine Tama-Nagayama Hospital, Nippon Medical School
Kunio Tanaka
Department of Internal Medicine Tama-Nagayama Hospital, Nippon Medical School
Takeshi Suzuki
Department of Internal Medicine Tama-Nagayama Hospital, Nippon Medical School
Fumio Ohtsu
Department of Internal Medicine Tama-Nagayama Hospital, Nippon Medical School
Koichi Nagasawa
Department of Internal Medicine Tama-Nagayama Hospital, Nippon Medical School
Masahiro Fuji-i
Second Department of Surgery Tama-Nagayama Hospital, Nippon Medical School
Shigeo Tanaka
Second Department of Surgery Tama-Nagayama Hospital, Nippon Medical School
Yasuhiko Iino
Second Department of Internal Medicine Tama-Nagayama Hospital, Nippon Medical School
Koichi Tamura
Department of Pathology, Nippon Medical School

Keywords: Hypokalemia, Hyponatremia, Polyuria, Renin - angiotensin system

JOURNAL FREE ACCESS

2002 Volume 66 Issue 3 Pages 297-301

DOI https://doi.org/10.1253/circj.66.297

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Abstract

Renovascular hypertension occasionally manifests clinically as electrolyte disorders and albuminuria in addition to elevated blood pressure. A 49-year-old man who had renovascular hypertension also had severe hypokalemia, hyponatremia, polyuria and polydipsia that were treated by an angiotensin-converting enzyme inhibitor and resection of an atrophic kidney with a compromised blood supply. This is a case of hyponatremic - hypertensive syndrome related to renovascular hypertension and occurring as an additional abnormality. (Circ J 2002; 66: 297 - 301)

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