What is included in preoperative care prior to surgical revascularization for 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

Pharmacologic treatment of RVHT should be provided before the operation in an effort to control blood pressure. Routine chest radiography, electrocardiography (ECG), and, perhaps, echocardiography are important in evaluating the patient’s cardiovascular stability under the stress of hypertension. Abdominal aortography and arteriography are necessary, not only to help establish a diagnosis but also to determine the extent of disease and the approach to surgical intervention.


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