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Re: Re: CT scan didn't find squat....  :-(

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CE Grim MD

Clinical Professor of Internal Medicine

Professor of Epidemiology

Board Certified in Internal Medicine, Geriatrics and Hypertension

It is interesting that most GRA positive family members have low renin but aldo

is not low.

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NOT MANY HAVE BEEN OPERATED ON. THE FIRST father and son did have but we now

know we dont need to operate. The hyperteplasia usually is not large enough to

be seen with todays techniques.

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CE Grim MD

Clinical Professor of Internal Medicine

Professor of Epidemiology

Board Certified in Internal Medicine, Geriatrics and Hypertension

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The only one I could think of was my maternal grandfather, who was on

diuretics and potassium replacement at an early age for hypertension

and died of a heart attack in his 60's.  His aorta was 98% blocked on

autopsy.  I don't know if that means anything.

Could have had coartation of the aorta as teh cause of his HTN. Where was it

blocked 90% above or below the kidneys?

My one uncle on my mom's side has hypertension, but that's all I know.

On my father's side, there were no known heart conditions (except for

my uncle who had a congeintal heart valve defect and died of heart

attack as a result while he was still in his teens).

Would be supsect that he also had low K. Try to find out as much as you can.

May your pressure be low!

CE Grim MD

Clinical Professor of Internal Medicine

Professor of Epidemiology

Board Certified in Internal Medicine, Geriatrics and Hypertension

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In a message dated 8/5/2004 12:35:20 AM Eastern Daylight Time,

" lord_mike_the_great " <lord_mike_the_great@...> writes:

>Are you asking if my grandfather had low K or my uncle with the

>heart defect?  I know grandpa ate lots of bananas 'cos he was on

>diuretics.  He also peed *A LOT* (supposedly from the diuretics).

>He'd have to take a pee break almost constantly.  We'd have to take

>a jar on long car trips!  During the last years of his life, fatigue

>was a huge problem for him.  

Low K can cause all of these.

Mom said that he had TIA's during this

>time.  As for the aorta thing, I will have mom look up the autopsy.

>She says she also has some medical records of his--we'll see if he

>was on K replacement, too.  He was treated at the Cleveland Clinic,

>so I might be able to pull his records there as well (although it

>was over 20 years ago--he died in 1982).  I can tell you one thing

>for sure, I did inherit his early-onset male pattern baldness!

>

>I looked at my recent metabolic labs.  My K was in normal range but

>on the low end (3.5 to 3.7) and sodium was on the high end of

>normal.  Mg was also on the low end of normal.  Is that of any value?

Suggests you have had early PA.

>

>Hey, Dr. Grim, thank you so much for being on these boards!  You

>don't know how important it is to have an expert clinician here!

>

>Thank you for the Dr. recommendation, BTW.  unfortunatley, the

>doctor you recommended is no longer at Cleveland Clinic.  :-(

Did not know he left. See if you can see Dr. Vidt. There has been a big

exodous of HTN specialist from the CC.

>

>Thanks,

>

>Mike

>

>

>

>> The only one I could think of was my maternal grandfather, who was

>on

>> diuretics and potassium replacement at an early age for

>hypertension

>> and died of a heart attack in his 60's.  His aorta was 98% blocked

>on

>> autopsy.  I don't know if that means anything.

>>

>> Could have had coartation of the aorta as teh cause of his HTN.

>Where was it  blocked 90% above or below the kidneys?

>>

>> My one uncle on my mom's side has hypertension, but that's all I

>know.

>>

>> On my father's side, there were no known heart conditions (except

>for

>> my uncle who had a congeintal heart valve defect and died of heart

>> attack as a result while he was still in his teens).

>>

>> Would be supsect that he also had low K. Try to find out as much

>as you can.

>>

>>

>>

>> May your pressure be low!

>>

>> CE Grim MD

>> Clinical Professor of Internal Medicine

>> Professor of Epidemiology

>>

>> Board Certified in Internal Medicine, Geriatrics and Hypertension

>

>

>

>

>

>

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Keep working on the family tree it souuds like there is a problem there.

Acturally try to get the latest BPs as well as many Drs will not tell a person

they have High bloodpressure unless the top number is 100 + their age.

In a message dated 8/4/2004 11:43:20 PM Eastern Daylight Time,

" lord_mike_the_great " <lord_mike_the_great@...> writes:

>

>> Hi, Mike

>>

>> So what did everyone else die of?  Morbidity or mortality from

>> strokes and early strokes or TIA's are common in families with

>GRA;

>> more common, unless I am mistaken, than heart conditions.

>>

>> Warmly,

>>

>> Pam

>

>During my maternal grandfather's last years, he had lots of TIA's.  

>My mom's cousin had a hemmorhageic stroke last year.  She has had HT

>for a long time.  My mom's brother has HT, but I don't know how bad

>it is (it doesn't hel that he's pretty portly).  The rest of the

>family is clean for HT or strokes.  There is a strong maternal

>history for complicated migraines (of which I am one--had my first

>when I was 14).   My dad's side is even better than my mom's.  His

>brother has like 90/60 with a resting HR of 60 at the ripe old age

>of 72 with no medication!!!

>

>Thanks,

>

>Mike

>

>

>

>

>

>

>

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Read the classic descriptions of s and you will find darkening elbows and

knuckels as part of the hyperpigmentation. Suggsest the pit is makng too much

of ACTH and /or MSH.

May your pressure be low!

CE Grim MD

Clinical Professor of Internal Medicine

Professor of Epidemiology

Board Certified in Internal Medicine, Geriatrics and Hypertension

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Just Google MSH

May your pressure be low!

CE Grim MD

Clinical Professor of Internal Medicine

Professor of Epidemiology

Board Certified in Internal Medicine, Geriatrics and Hypertension

Link to comment
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Guest guest

Just Google MSH

May your pressure be low!

CE Grim MD

Clinical Professor of Internal Medicine

Professor of Epidemiology

Board Certified in Internal Medicine, Geriatrics and Hypertension

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