What are the signs and symptoms of renovascular hypertension (RVHT)?

Updated: Dec 01, 2020
  • Author: Rebecca J Schmidt, DO, FACP, FASN; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

Patients with RVHT may be asymptomatic, and the hypertension may be discovered during routine examination or preparation for surgical treatment of another problem. In most pediatric studies, more than one half of children who were found to be hypertensive were asymptomatic, or their hypertension was discovered during a routine examination. When symptoms are present, they are often nonspecific and are related to the organ systems most affected by hypertension.

Neurologic may manifestations include headache, altered mental status, vision changes, vomiting, seizures, coma, encephalopathy, hyperexcitability, and hyperirritability. Signs and symptoms of congestive heart failure (eg, decreased energy, edema, and shortness of breath) may also develop. In patients with abdominal aortic narrowing, claudication may be present. Some children have anorexia, and infants or young children often present with failure to thrive. Occasionally, patients have oliguric renal failure.


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