A 41-year-old female presented with a six-year history of hypertension and newly diagnosed diabetes. She was being evaluated for progressive abdominal pain for six months. During her primary care visits, she had documented uncontrolled hypertension, despite therapy with amlodipine and metoprolol. Medical history The patient had a h ysterectomy six years ago, which got complicated by a perioperative hypertensive crisis.
The long-standing history of palpitations and intermittent panic attacks accompanied by diaphoresis and pallor condition was partially controlled with intermittent alprazolam. For the above-mentioned symptoms, the patient underwent a cardiac evaluation, which included an ambulatory Holter monitor, a transthoracic echocardiogram and a cardiac stress test. The test did not reveal any abnormalities. The patient had three past pregnancies with uneventful vaginal deliveries…
