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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevated TPR And Left Ventricular Hypertrophy?

Patient: 5â??6â??, 210 lb., 66-year-old male

History: BP was >180/115 on three separate days. Examination showed normal to low plasma rennin activity, elevated total peripheral resistance (TPR), cardiac output (CO) of 7.2 L/min, x-rays showed evidence of left ventricular hypertrophy, retinal hemorrhages, and mild polyuria. Recommended therapy was weight reduction to his ideal weight, a low salt diet (


What is the diagnosis for this individual?



                                                                 
posted on Thu, 13 Mar 2014
Twitter Fri, 1 Jun 2018 Answered on
Twitter Mon, 4 Jun 2018 Last reviewed on
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Elevated TPR might be from an essential hypertension or secondary hypertension. Normal renin levels suggest that a secondary cause, like renal artery stenosis is excluded. Ventricular hypertrophy, retinal hemorrhage and proteinuria are caused from an untreated hypertension for a long time. I suggest you to do an ECG, a cardiac sonography, a 24 hour blood pressure monitor Holter, a renal sonography and some routine blood tests to see renal function. After doing this, you might need treatment for high blood pressure.

All the best!
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What Causes Elevated TPR And Left Ventricular Hypertrophy?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Elevated TPR might be from an essential hypertension or secondary hypertension. Normal renin levels suggest that a secondary cause, like renal artery stenosis is excluded. Ventricular hypertrophy, retinal hemorrhage and proteinuria are caused from an untreated hypertension for a long time. I suggest you to do an ECG, a cardiac sonography, a 24 hour blood pressure monitor Holter, a renal sonography and some routine blood tests to see renal function. After doing this, you might need treatment for high blood pressure. All the best!