XXXX emergency due to @entity1911 complicated with refractory hemodynamic collapse.

@entity1 @entity1455 @entity101 @entity1353 @entity75 @entity39 @entity935 @entity1425 @entity1911 @entity1507 @entity911 @entity7368 @entity1063 @entity10 @entity551 @entity1779 @entity774
UNASSIGNED: @entity101 emergency usually appears in older @entity1 with previous recurrent episodes, and is among the most frequent admissions to emergency departments. A 29-year-old @entity1 was referred to our clinic with the diagnosis of @entity101 emergency. The @entity1 complained of severe @entity10 , @entity1353 , palpitation, diaphoresis, and @entity911 due to @entity101 @entity75 . Her blood pressure was 250/150 mmHg on admission. At the referral hospital, the @entity1 had undergone cranial CT because of her confused state and this excluded @entity1779 . Also at that hospital, thoracoabdominal CT for differential diagnosis depicted an @entity774 with a @entity39 core. After admission to our clinic, initial control of excessive blood pressure was not achieved despite high dose intravenous @entity1507 therapy. Thereafter intravenous @entity7368 treatment was initiated simultaneously with oral alpha blocker therapy in order to counterbalance the unopposed alpha adrenergic activity with beta blocker therapy. After 12 hours, sudden onset of @entity551 developed and deepened despite IV saline, inotropic and vasopressor agents such as IV @entity935 , @entity1063 and @entity1425 . The @entity1 died at the 24th hour due to hemodynamic collapse as a result of hyperadrenergic state due to possible @entity1911 . This case is an exceptional example of @entity101 emergency secondary to fulminant @entity1911 failing to respond to intensive antihypertensive treatment, and in which @entity1 death was unavoidable due to uncontrolled excessive adrenergic activity which led to profound @entity1455 .
