Renal artery stenosis history and symptoms: Difference between revisions

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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>:
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>:

Revision as of 23:53, 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:

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[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. 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.