Renal artery stenosis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Shivam Singla, M.D.[2] Yazan Daaboul

Overview

In a patient suspected to have atherosclerosis, resistant hypertension and a drop in the predicted glomerular filtration rate (eGFR) are three elements that are very critical for increasing the presumption of atherosclerotic renal artery stenosis. Other factors, such as hypertension at an early age or malignant hypertension, play a major role as well.

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:


Additional clinical clues that suggest renal artery disease are listed below[1]:

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.