When are ACE inhibitors indicated in treating renovascular hypertension (RVHT)?

Updated: Feb 22, 2019
  • Author: Matthew R Alexander, MD, PhD; Chief Editor: Eric H Yang, MD  more...
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Answer

Angiotensin-converting enzyme inhibitors (ACEIs) are effective in patients with unilateral renal artery stenosis; however, ACEIs need to be avoided in patients with bilateral renal artery stenosis or stenosis of a solitary kidney. A diuretic can be combined with an ACEI. Because of their glomerular vasodilatory effect, calcium antagonists are effective in renal artery stenosis and do not compromise renal function.


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