A Nuanced Scrutiny of the Segmental Renal Artery Spectral Doppler in “Pickering” the Right Diagnosis

Authors

Adee Elhamdani, Marshall University
Kirtivardhan Vashistha, Icahn School of Medicine at Mount Sinai
Laith Alhuneafat, University of Minnesota Twin Cities
Tala Altarawneh, Joan C. Edwards School of Medicine
Robert Biederman, West Penn Allegheny Health System
John Travis Wilson, West Penn Allegheny Health System
Wilbert S. Aronow, New York Medical CollegeFollow
Vinh Nguyen, Scott and White

Author Type(s)

Faculty

DOI

10.1080/14796678.2025.2457933

Journal Title

Future Cardiology

First Page

149

Last Page

153

Document Type

Article

Publication Date

1-1-2025

Department

Medicine

Keywords

hypertensive emergency, Pickering syndrome, pulmonary edema, renal angiogram, renal artery stenosis, Secondary hypertension

Disciplines

Medicine and Health Sciences

Abstract

Approximately 5–10% of patients with hypertension have secondary hypertension. We describe a case of secondary hypertension from bilateral renal artery stenosis (RAS): “Pickering syndrome.” This is a case of hypertension secondary to bilateral RAS which provides an opportunity to review secondary hypertension with a specific focus on RAS, in terms of when to consider work up, causes of secondary hypertension, diagnostic testing, and treatment.

Recommended Citation

Elhamdani, A., Vashistha, K., Alhuneafat, L., Altarawneh, T., Biederman, R., Wilson, J., Aronow, W., & Nguyen, V. (2025). A Nuanced Scrutiny of the Segmental Renal Artery Spectral Doppler in “Pickering” the Right Diagnosis. Future Cardiology, 21 (3), 149-153. https://doi.org/10.1080/14796678.2025.2457933