Fibromuscular dysplasia (FMD) is a rare disease that affects small and medium-sized arteries. Clinical manifestations of FMD depend on its localization. In many cases, FMD of renal arteries (RA) is associated with arterial hypertension. Young age, particularly of female patients, suspected RA dissection or kidney infarction, absence of atherosclerosis or presence of FMD in other arteries of such patients evidence for RA FMD. In invasive treatment of hemodynamically significant stenoses, transluminal balloon angioplasty (TBA) of renal arteries is preferrable. Taking into account initial alterations of the vascular wall and unevenness of the lumen of the affected blood vessel, stent implantation is associated with an increased risk of complications and is recommended only if ballooning complications develop. An open reconstructive surgery is indicated in complicated narrowing anatomy, a high risk of the endovascular treatment, or after failure of the endovascular intervention. This article presents a clinical case of a young female patient with RA FMD and renovascular arterial hypertension who successfully underwent renal TBA with a drug-coated balloon.

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Uterine arteriovenous malformation (AVM) is a rare condition that threatens severe uterine bleeding. We present a patient with this pathology, who was hospitalized twice within 5 months in serious condition, because she refused a hysterectomy. Ultrasonography of the uterus detected a vascular formation, the nature of which could be identified only on computed tomography (CT) angiography. Afferent vessels were embolized twice, and after the condition was stabilized, we performed a hysterectomy. For a long time, there was no recurrence of bleeding. The foregoing allows us to recommend the described tactics for the diagnosis and treatment of uterine AVM in women in similar clinical situations.

Objective of the Review: To discuss the capabilities of modern means of personalised telemonitoring for patients with arterial hypertension and chronic heart failure (CHF). Key Points. Remote monitoring with the use of personalised telemonitoring devices, video consultations by medical professionals, sharing printed information on digital media, self-checks by patients can reduce the number of hospital visits significantly, facilitate prompt therapy adjustments, prevent severe cardiovascular events, and improve compliance. Currently, we have a wide choice of means for blood pressure telemonitoring; systems for remote monitoring of patients with CHF (including pulmonary circulation monitoring) are being developed. Conclusion. Extended use of telemonitoring for patients with cardiovascular diseases (CVDs) will improve the quality of medical care. Further studies to identify indications for telemonitoring and remote monitoring protocols for patients with CVDs are needed. Keywords: telemonitoring, arterial hypertension, chronic heart failure.