Renal artery stenosis history and symptoms

Renal artery stenosis Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Renal artery stenosis from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-ray
Echocardiography and Ultrasound
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Interventions
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Renal artery stenosis history and symptoms On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Renal artery stenosis history and symptoms All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Renal artery stenosis history and symptoms
CDC on Renal artery stenosis history and symptoms
Renal artery stenosis history and symptoms in the news
Blogs on Renal artery stenosis history and symptoms
Directions to Hospitals Treating Renal artery stenosis
Risk calculators and risk factors for Renal artery stenosis history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

History and symptoms

According to the KDOQI Clinical Practice Guidelines on Hypertension and Antihypertensive Agents in Chronic Kidney Disease, the most important clinical clues that should raise the suspicion of renal artery disease are the triad:

Most Important Clinical Clues Resistant hypertension Reduction in estimated glomerular filtration rate (eGFR) Known generalized atherosclerosis

Additional clinical clues that suggest renal artery disease are listed below:

• 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