Background: Atherosclerotic renal artery stenosis (RAS) is a significant cause of renal failure, especially in patients with a solitary functioning kidney. Timely revascularization can potentially reverse ischemic nephropathy and prevent further complications like pulmonary edema and uncontrolled hypertension. Case Presentation: A 71-year-old male with a solitary functioning kidney presented with worsening renal function, chronic hyponatremia, and recurrent flash pulmonary edema. The patient presented with a 95% ostial stenosis of the right renal artery. Percutaneous renal artery stenting was performed successfully, resulting in improved clinical status and renal function. Serum creatinine decreased from 3.07 mg/dL to 2.1 mg/dL post-procedure. The patient remained stable at a two-month follow-up. Conclusion: Renal artery stenting in patients with ischemic nephropathy secondary to RAS can significantly improve renal function and overall clinical outcomes. Early intervention should be considered in similar cases to prevent irreversible renal damage.
Background: Hypertension and obesity are major risk factors for health problems and cardiovascular diseases in developing and developed countries. There is limited evidence available on the correlation between high blood pressure and obesity despite their close association. Methods: The current study aimed to find the correlation between anthropometric measurements, lipid profile, visfatin, apelin, and blood pressure parameters in 31 newly diagnosed hypertensive patients and 32 enalapril-treated hypertensive patients. Results: In enalapril treated patients, a significant negative relationship between visfatin and triglyceride (TG). Conversely, there is a positive correlation between visfatin and HDL. Moreover, visfatin expressed a negative correlation with VLDL. Concerning the newly diagnosed hypertensive group, a non-significant correlation was found between serum visfatin and lipid profile parameters. Additionally, a significant negative correlation between apelin and DBP in enalapril treated patients. Moreover, significant negative correlation between apelin and SBP in enalapril treated patients. On the other hand, a non-significant correlation between apelin and blood pressure parameters in the newly diagnosed hypertensive group was found. Moreover, there was a significant positive relationship between BMI and visfatin by comparing these two variables in all studied group participants. Conclusion: We concluded that anthropometric measurements, adipokines, and lipid profiles most closely relate to high blood pressure in hypertensive patients.
