Renal vascular disease: detecting the most common curable cause of secondary hypertension.

Renal vascular disease: detecting the most common curable cause of secondary hypertension.

Rutecki G W; Whittier F C

Consultant (00107069)

1994

1994-11

Detection of renal vascular disease offers the opportunity to cure a patient with hypertension as well as to avert severe renal damage and lifelong dependence on dialysis. The crucial first step is to suspect renovascular lesions. Clues include the character of the hypertension, age at onset, retinopathy, a renal artery bruit, and azotemia in patients being treated with ACE inhibitors. Choice of tests to pursue depends on the strength of the clinical evidence of renal vascular disease; although selective renal arteriography is the 'gold standard,' it is invasive and expensive, making other tests more appropriate for many patients.

Angiography; Hypertension; Arteriosclerosis; Renal – Etiology; Captopril – Diagnostic Use; Renal Artery Obstruction – Diagnosis; Renal Artery Obstruction – Radiography; Renal Artery Obstruction – Ultrasonography

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

1595–1602

11

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