Renovascular hypertension
Alternative names:
hypertension - renovascular; renal hypertension
Treatment:
The goal of treatment is to control the elevated blood pressure.
Medications that may be used in an attempt to control blood pressure include diuretics, potassium replacements, beta blockers, calcium channel blockers, and angiotensin-converting enzyme inhibitors (see ACE inhibitors - oral). Diazoxide or nitroprusside may be given if symptoms are acute. Response to medications is highly individual. Blood pressure should be monitored frequently. Medication and dosage may need frequent adjustment.
Surgical reconstruction of a damaged artery may be performed. Balloon angioplasty of the damaged artery may be used instead of open reconstruction.
Lifestyle changes may be recommended, including weight loss, exercise, and dietary adjustments. Stop smoking. Stop drinking alcohol. These habits add to the effects of hypertension in causing complications.
Expectations (prognosis):
Renovascular hypertension may be very difficult to control. It often responds well to surgical treatment if there are no other surgical risks. Older people or high-risk individuals may be managed with variable results with medical treatment. The disorder requires lifelong monitoring, and treatment may require frequent adjustments.
Complications:
Calling your health care provider:
Call for an appointment with your health care provider if hypertension is suspected.
Call your health care provider if renovascular hypertension has been diagnosed and symptoms occur, worsen, or do not improve with treatment. Also call if new symptoms develop.
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