49 yr old, over-weight female with history of hypertension.
3 months ago I received a stint in renal artery for renal stenosis. After procedure BP was normal without mediaction for appx. one month, however hypertension returned and has not been alleviated. Follow-up CT scans and nuclear studies reveal no restenosis. I was placed on Norvasc, Altace and hydrochlorothiazide to control BP at 145/95 (average). Test for vasoactive amines was negative. Since starting medicines partial relief has been given to the flushing and severe face pain which occurred 1 month post stint procedure. Is flushing associated with BP? What is the deciding factor to determine if hypertension is truly idiopathic?