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. 2010 Jul;23(3):246-9.
doi: 10.1080/08998280.2010.11928627.

Current opinions in renovascular hypertension

Ankit N Mehta  1 , Andrew Fenves
Affiliations

Current opinions in renovascular hypertension

Ankit N Mehta et al. Proc (Bayl Univ Med Cent). 2010 Jul.

Abstract

Renal artery stenosis and renovascular hypertension are important considerations in patients with hypertension that is difficult to control. The diagnosis may also have prognostic significance for progressive renal disease. The most common causes of renal artery stenosis are atherosclerotic disease and fibromuscular dysplasia. The pathophysiology of renal artery stenosis is reviewed, and the pros and cons of various imaging studies in the appropriate clinical setting are discussed. Treatment includes aggressive control of hypertension, dealing with associated cardiac risk factors, and angioplasty or surgery in specific circumstances.

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Figures

Figure
Figure
Mechanism of systemic hypertension caused by renal artery stenosis. NA indicates sodium; DCT, distal convoluted tubule.
See this image and copyright information in PMC

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