Patient with malignant hypertension alive after 25 years. A case report

An indian man presented in 1960 with malignant hypertension. He was treated with guanethidine (Ismelin; Ciba), when it was first introduced onto the pharmaceutical market, in combination with other hypotensive agents. Therapeutic compliance was excellent and after 25 years of hypotensive therapy the patient still has a good quality of life.