Pseudohypertension Due to Diffuse Vascular Calcification in Chronic Renal Failure

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Metastatic soft-tissue calcification is a well-known complication of chronic renal failure. We describe pseudohypertension (that is, cuff systolic blood pressure higher than 300 mm Hg without intravascular hypertension) due to diffuse arterial calcification occurring in a patient with chronic renal failure.

A 63-year-old Hispanic man was admitted to the Jackson Memorial Hospital coronary care unit complaining of chest pain. His history was remarkable for chronic renal failure of 4½ years' duration, for which he required hemodialysis three times weekly. He reported that for the past several months his blood pressure had been “unobtainable” at the dialysis center. Communication with the

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