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Renal hypertension; Hypertension - renovascular; Renal artery occlusion; Stenosis - renal artery; Renal artery stenosis
High blood pressure caused by narrowing of the arteries that lead to the kidneys (renovascular hypertension) is often difficult to control.
Medications are needed to help control blood pressure. There are a variety of high blood pressure medications available. You and your doctor will decide which type is best for you. often more than one type may be needed.
Have your cholesterol checked and treated. If you have diabetes, heart disease, or hardening of the arteries somewhere else in your body, your "bad" (LDL) cholesterol should be lower than 100 mg/dL.
Lifestyle changes are important:
Further treatment depends on what causes the narrowing of the kidney arteries. For example, your doctor may recommend a procedure called angioplasty with stenting if you have this condition and it is not well-managed with medications. For information, see: Stent.
These procedures may be an option if you have:
However, experts are not certain which patients should have these procedures.
If your blood pressure is not well controlled, you are at risk for the following complications:
Call for an appointment with your health care provider if you think you have high blood pressure.
Call your health care provider if you have renovascular hypertension and symptoms get worse or do not improve with treatment. Also call if new symptoms develop.
Victor RG. Systemic hypertension: Mechanisms and diagnosis. In: Bonow RO, Mann DL, Zipes DP, Libby P, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 45.
Kaplan NM. Systemic hypertension: Therapy. In: Bonow RO, Mann DL, Zipes DP, Libby P, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 46.
Dworkin LD, Murphy T. Is there any reason to stent atherosclerotic renal artery stenosis? Am J Kidney Dis. 2010 Aug;56(2):259-63.
U.S. Preventive Services Task Force. Screening for high blood pressure: U.S. Preventive Services Task Force reaffirmation recommendation statement. Ann Intern Med. 2007;147(11):783-786.
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