Fibromuscular dysplasia screening

Fibromuscular dysplasia Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

• • Screening Renal artery fibromuscular dysplasia

• The most common presentation of renal artery stenosis (RAS), included atherosclerotic RAS or FMD-related RAS is renovascular HTN. According to the American Heart Association (AHA)/American College of Cardiology guidlines, and European consensus on the diagnosis and management of fibromuscular dysplasia

In a patient with HTN, screening for FMD-related RAS is recommended in the following indications:

• 1. Age <30 years, especially in women
• 2. Grade 3 (_180/110 mmHg), accelerated or malignant HTN,
• 3. Resistant HTN (blood pressure target not achieved despite

triple therapy at optimal doses including a diuretic)

• 4. Small kidney without history of uropathy
• 5. Abdominal bruit without apparent atherosclerosis
• 6. FMD in at least another vascular territory

Screening

There is insufficient evidence to recommend routine screening for [disease/malignancy].

OR

According to the [guideline name], screening for [disease name] is not recommended.

OR

According to the [guideline name], screening for [disease name] by [test 1] is recommended every [duration] among patients with:

• [Condition 1]
• [Condition 2]
• [Condition 3]