We present a patient who developed post kidney transplant renovascular hypertension due to Fibromuscular dysplasia, which was unseen on donor's renal artery angiography. The temporal relationship to the clinically manifested hypertension and the patient's profound weight loss makes us postulate her intra-abdominal fat redistribution led to nephroptosis of the transplanted kidney, causing stretching of the renal artery, exaggerating the Fibromuscular dysplasia and hemodynamically significant sten...

Certain drugs can induce ventricular tachycardia (VT) in a different mechanism. Most knowed mechanisms are creating new reentry, enhancing ventricular after potentials or exaggerating the slope of phase 4. These kind of arrhythmias can or can not be symptomatic, sustained or non-sustained and have variable ECG changes: Monomorphic or polymorphic ventriculer extras, bidirectional or torsades de pointes ventricular tachyarrhythmias. Zuclopenthixol decanoate blocks postsynaptic Dopamine receptor in...

Platypnea-Orthodeoxia Syndrome (POS) is a rare clinical syndrome characterized by dyspnea and hypoxemia while upright that are relieved when the patient is supine. A right to left shunt in combination with several hypothesized hemodynamic or structural factors are needed to develop the syndrome. It is an important source of dyspnea in a small percentage of often-elderly patients. The exact mechanism for the positional increase in the shunt has remained elusive....