Which findings are indications of renovascular hypertension (RVHT) that may progress to serious complications?

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

Clues to the presence of RVHT that might lead to serious complications (eg, stroke, renal failure, and cardiac decompensation) include the following:

  • Recurrent and otherwise unexplained flash pulmonary edema or heart failure
  • Recalcitrant hypertension that previously was controlled easily
  • Hypertension that abruptly becomes more difficult to control and requires increased antihypertensive agents
  • Slowly increasing serum creatinine levels, signifying the evolution of ischemic nephropathy

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