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Related Concept Videos

Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
Hypertension I: Introduction01:28

Hypertension I: Introduction

Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
Disorders of the Autonomic Nervous System01:18

Disorders of the Autonomic Nervous System

The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
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Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
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Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
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Updated: May 17, 2026

Isolation and Adoptive Transfer of High Salt Treated Antigen-presenting Dendritic Cells
09:29

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Published on: March 5, 2019

Adenoid hypertrophy presenting with systemic hypertension.

P Subashini1, A Ravikumar, M S Ranjit

  • 1Department of Otolaryngology - Head and Neck Surgery, Sri Ramachandra Medical College and Research Institute (Deemed University), Porur, Chennai, 600 116 Tamilnadu India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|November 3, 2012
PubMed
Summary

Pediatric obstructive sleep apnea caused by adenoid hypertrophy can lead to severe cardiac issues, including hypertension and heart failure. Adenoidectomy resolved these symptoms, improving the child's cardiac health and eliminating the need for medication.

Keywords:
Adenoid hypertrophyHypertensionLeft ventricular dysfunctionObstructive Sleep Apnea (OSA)

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Left Atrial Stenosis Induced Pulmonary Venous Arterialization and Group 2 Pulmonary Hypertension in Rat

Published on: November 18, 2018

Area of Science:

  • Pediatric Cardiology
  • Otolaryngology
  • Sleep Medicine

Background:

  • A pediatric case presented with severe systemic hypertension, left ventricular dysfunction, mitral regurgitation, and congestive cardiac failure.
  • The patient also exhibited symptoms of obstructive sleep apnea, linked to adenoid hypertrophy.
  • Current treatments included antihypertensive and anti-failure medications.

Purpose of the Study:

  • To investigate the impact of adenoidectomy on cardiac dysfunction and obstructive sleep apnea in a pediatric patient.
  • To assess the potential for medication withdrawal following surgical intervention.

Main Methods:

  • Clinical examination and diagnosis of adenoid hypertrophy and obstructive sleep apnea.
  • Medical management of hypertension and congestive cardiac failure.
  • Surgical intervention via adenoidectomy.

Main Results:

  • Post-adenoidectomy, obstructive sleep apnea symptoms resolved completely.
  • Significant improvement in the patient's cardiac status was observed.
  • The child was successfully weaned off all antihypertensive and anti-failure medications.

Conclusions:

  • Adenoidectomy is an effective treatment for obstructive sleep apnea in children with associated cardiac dysfunction.
  • Surgical resolution of upper airway obstruction can lead to marked cardiac improvement and medication independence.