What is the morbidity associated with 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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The main comorbidity of RVHT is directly related to its capacity to lead to end-organ damage. Neurologic manifestations are often the presenting symptoms because severe hypertension can lead to retinopathy, headaches, dizziness, confusion, seizures, and stroke. The heart is frequently affected because increased afterload leads to congestive heart failure and ventricular hypertrophy.

RVHT may also damage the kidneys, especially when significant stenosis of the perfusing vessels is present to cause ischemia.

Finally, RVHT is often associated with failure to thrive in young children.

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