Renal artery stenosis history and symptoms: Difference between revisions
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Esther Lee (talk | contribs) Created page with "__NOTOC__ {{Renal artery stenosis}} {{CMG}} ==Overview== ==History and symptoms== Most cases of renal artery stenosis are asymptomatic, and the main problem is [[high blood ..." |
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==History and symptoms== | ==History and symptoms== | ||
'''According to the KDOQI Clinical Practice Guidelines on Hypertension and Antihypertensive Agents in Chronic Kidney Disease'''<ref name="pmid15114537">{{cite journal| author=Kidney Disease Outcomes Quality Initiative (K/DOQI)| title=K/DOQI clinical practice guidelines on hypertension and antihypertensive agents in chronic kidney disease. | journal=Am J Kidney Dis | year= 2004 | volume= 43 | issue= 5 Suppl 1 | pages= S1-290 | pmid=15114537 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15114537 }} </ref>''', the most important clinical clues that should raise the suspicion of renal artery disease are the triad:''' | |||
#Resistant hypertension | |||
#Reduction in estimated glomerular filtration rate (eGFR) | |||
#Known generalized atherosclerosis | |||
'''Additional clinical clues that suggest renal artery disease are listed below'''<ref name="pmid15114537">{{cite journal| author=Kidney Disease Outcomes Quality Initiative (K/DOQI)| title=K/DOQI clinical practice guidelines on hypertension and antihypertensive agents in chronic kidney disease. | journal=Am J Kidney Dis | year= 2004 | volume= 43 | issue= 5 Suppl 1 | pages= S1-290 | pmid=15114537 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15114537 }} </ref>: | |||
*Age of hypertension <30 years and > 55 years | |||
*Abrupt onset of hypertension | |||
*Accelerated hypertension that was previously well-controlled | |||
*Refractory hypertension to 3 anti-hypertensive medications | |||
*Malignant hypertension | |||
*Smoking | |||
*Abdominal bruit | |||
*Flash pulmonary edema | |||
*Generalized atherosclerosis obliterans | |||
*Asymmetric kidney sizes | |||
*AKI when ACE-I or ARB are used for treatment | |||
==References== | ==References== | ||
Revision as of 23:43, 7 November 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
History and symptoms
According to the KDOQI Clinical Practice Guidelines on Hypertension and Antihypertensive Agents in Chronic Kidney Disease[1], the most important clinical clues that should raise the suspicion of renal artery disease are the triad:
- Resistant hypertension
- Reduction in estimated glomerular filtration rate (eGFR)
- Known generalized atherosclerosis
Additional clinical clues that suggest renal artery disease are listed below[1]:
- Age of hypertension <30 years and > 55 years
- Abrupt onset of hypertension
- Accelerated hypertension that was previously well-controlled
- Refractory hypertension to 3 anti-hypertensive medications
- Malignant hypertension
- Smoking
- Abdominal bruit
- Flash pulmonary edema
- Generalized atherosclerosis obliterans
- Asymmetric kidney sizes
- AKI when ACE-I or ARB are used for treatment
References
- ↑ 1.0 1.1 Kidney Disease Outcomes Quality Initiative (K/DOQI) (2004). "K/DOQI clinical practice guidelines on hypertension and antihypertensive agents in chronic kidney disease". Am J Kidney Dis. 43 (5 Suppl 1): S1–290. PMID 15114537.