RENOVASCULAR HYPERTENSION: DIAGNOSIS & MANAGEMENT
Mohammad Reza Khatami
Background - Reno-vascular hypertension (RVHTN) is an uncommon form of hypertension that is due to reduction of kidney perfusion. The diagnosis of RVHTN is retrospectively made when the blood pressure return to normal after removing the stenosis in renal artery Up to 50% of people with normal blood pressure may have moderate to serve renal artery stenosis (RAS) in autopsy. Meanwhile a considerable percentage of patients with renal artery stenosis and hypertension have no benefit with revascularization. There are three main question regarding RVHTN: 1) Which paraclinical tests should be performed to diagnose RAS? 2) By finding RAS, does it mean that the hypertension is due to it? 3) Which treatment modality is appropriate?
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