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Diagnosis and management of renovascular hypertension.

Publication ,  Journal Article
Klassen, PS; Svetkey, LP
Published in: Cardiol Rev
2000

Renovascular hypertension caused by renal artery stenosis accounts for a small portion of overall hypertension but remains important as the most common potentially curable form of high blood pressure. Diagnosis depends on developing an index of suspicion for renovascular hypertension based on the history and physical exam, as well as judicious use of noninvasive and invasive testing. Determining which noninvasive diagnostic test to use remains a persistent dilemma. Treatment options include renal artery angioplasty, arterial stenting, surgery, and medical therapy. The goals of therapy are reduction of blood pressure and protection of renal function. This review discusses the pathophysiology and epidemiology of renovascular hypertension, various noninvasive tests used in diagnosis, and results offered by different treatment modalities. A diagnostic and therapeutic algorithm is offered based on a review of the literature and the experience at our institution.

Duke Scholars

Published In

Cardiol Rev

DOI

ISSN

1061-5377

Publication Date

2000

Volume

8

Issue

1

Start / End Page

17 / 29

Location

United States

Related Subject Headings

  • Ultrasonography, Doppler, Duplex
  • Renin-Angiotensin System
  • Renal Artery Obstruction
  • Radiography
  • Magnetic Resonance Angiography
  • Hypertension, Renovascular
  • Humans
  • Decision Trees
  • Cardiovascular System & Hematology
  • Captopril
 

Citation

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Klassen, P. S., & Svetkey, L. P. (2000). Diagnosis and management of renovascular hypertension. Cardiol Rev, 8(1), 17–29. https://doi.org/10.1097/00045415-200008010-00005
Klassen, P. S., and L. P. Svetkey. “Diagnosis and management of renovascular hypertension.Cardiol Rev 8, no. 1 (2000): 17–29. https://doi.org/10.1097/00045415-200008010-00005.
Klassen PS, Svetkey LP. Diagnosis and management of renovascular hypertension. Cardiol Rev. 2000;8(1):17–29.
Klassen, P. S., and L. P. Svetkey. “Diagnosis and management of renovascular hypertension.Cardiol Rev, vol. 8, no. 1, 2000, pp. 17–29. Pubmed, doi:10.1097/00045415-200008010-00005.
Klassen PS, Svetkey LP. Diagnosis and management of renovascular hypertension. Cardiol Rev. 2000;8(1):17–29.

Published In

Cardiol Rev

DOI

ISSN

1061-5377

Publication Date

2000

Volume

8

Issue

1

Start / End Page

17 / 29

Location

United States

Related Subject Headings

  • Ultrasonography, Doppler, Duplex
  • Renin-Angiotensin System
  • Renal Artery Obstruction
  • Radiography
  • Magnetic Resonance Angiography
  • Hypertension, Renovascular
  • Humans
  • Decision Trees
  • Cardiovascular System & Hematology
  • Captopril