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Hipertensión renovascular - Symptom

Nombres alternativos

Hipertensión renal; Hipertensión de tipo renovascular; Oclusión de la arteria renal; Estenosis de la arteria renal; Estenosis arterial renal

Síntomas:

Las personas con hipertensión renovascular pueden tener un antecedente de hipertensión arterial que es grave y difícil de controlar con medicamentos.

Los síntomas de hipertensión renovascular abarcan:

  • Hipertensión arterial a temprana edad.
  • Hipertensión arterial que repentinamente empeora o es difícil de controlar.
  • Riñones que no están funcionando bien, lo cual con frecuencia ocurre repentinamente.
  • Estrechamiento de otras arterias en el cuerpo, como las que van a las piernas, el cerebro, los ojos y en otra parte.
  • Acumulación súbita de líquido en los alvéolos de los pulmones (edema pulmonar).

Si usted tiene un dolor de cabeza intenso, náuseas o vómitos, confusión, cambios en su visión o hemorragia nasal, puede tener una forma grave y peligrosa de hipertensión arterial llamada hipertensión maligna.

Pruebas y exámenes:

El médico puede escuchar un ruido o sonido "silbante", llamado soplo, al colocar el estetoscopio sobre el área ventral.

Se pueden hacer los siguientes exámenes de sangre:

Se pueden hacer exámenes imagenológicos para ver si las arterias renales se han estrechado y pueden abarcar:

  • Renografía para detectar la inhibición de la enzima convertidora de angiotensina (ECA)
  • Ecografía Doppler de las arterias renales
  • Angiografía por resonancia magnética (ARM)
  • Arteriografía renal
  • Reviewed last on: 5/23/2011
  • David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., and Michael A. Chen, MD, PhD, Assistant Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, Washington.

Referencias

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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