Clonidine withdrawal syndrome in a heart failure patient can present with hypertension and high systemic vascular resistance, manageable with nitroprusside and captopril.
Clonidine withdrawal may cause hypertensive crisis with high SVR in HF; single case leaves optimal management open.
Clonidine withdrawal syndrome is described in a patient with heart failure and suspected cardiogenic shock. Hemodynamic monitoring disclosed hypertension and a very high systemic vascular resistance. Treatment consisted of nitroprusside followed by captopril.
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Geest et al. (1985) studied this question.
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