Evidence map›Paper›PMID 40951055›Full record

ArticleCureus2025

Managing a Patient With Hypertensive Crisis.

Jalal Ibrahim, Torrin P Jacobsen, Adina Boulos, Jason S DeFrancisis, Prathap Simhadri

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jalal IbrahimDermatology, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Torrin P JacobsenRadiology, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Adina BoulosPsychiatry, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Jason S DeFrancisisOrthopedic Surgery, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Prathap SimhadriInternal Medicine/Nephrology, Advent Health, Florida State University (FSU) College of Medicine, Daytona Beach, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Renal artery stenosis (RAS) is a common yet under-recognized cause of secondary hypertension and acute kidney injury, especially in elderly patients with multiple comorbidities. We report the case of a 74-year-old woman with longstanding hypertension, chronic kidney disease stage 3, and tobacco use who presented with flash pulmonary edema and hypertensive emergency. Despite a negative renal duplex ultrasound, persistent clinical suspicion prompted further evaluation with renal angiography, which revealed significant right RAS. Following successful stenting, the patient showed marked improvement in renal function and was discharged with stable kidney parameters. This case highlights the importance of integrating clinical judgment, physical exam findings, and laboratory data when noninvasive imaging is inconclusive. It also emphasizes the value of timely intervention in improving patient outcomes and the need to rely on a comprehensive diagnostic approach in high-risk patients.

Indexed as

acute kidney injuryclinical decision-makingdiagnostic imagingflash pulmonary edemahypertensive emergencyrenal artery stenosis

Identifiers

PMID40951055
PMCPMC12431168

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.