52 y/o male with HTN for 2 yrs treated with enalapril 10 mg fair control. Non smoker, not obese, very active. Hx of anxiety, on Buspiron and Celexa. Developed malignant HTN, 210/140, in ER 3 times, 5 episodes in 4 days. No other sx, no other physical health conditions. CMP, CBC, cardiac, lipase, UA, Sed, PTT, chest xray, and CT of head all WNL.