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Hypertensive kidney
Hypertensive kidney


Renovascular hypertension

Alternative Names:
Renal hypertension; Hypertension - renovascular

Symptoms:

Usually, high blood pressure causes no symptoms. Occasionally, you may experience a mild headache. If your headache is severe, or if you experience any of the symptoms below, see a doctor right away. These may be a sign of malignant hypertension.

  • tiredness
  • confusion
  • vision changes
  • crushing, angina-like chest pain
  • heart failure
  • blood in urine
  • nosebleed
  • irregular heartbeat
  • ear noise or buzzing
Text Continues Below



Certain signs and symptoms may point towards the diagnosis of renovascular hypertension. These include:

  • Severe, difficult-to-control hypertension. Renovascular hypertension is often severely high and difficult to treat.
  • A "whooshing" noise, or bruit, which may be heard when placing a stethoscope over the abdominal (flank) area.
  • Episodes of heart failure (flash pulmonary edema).
  • Rapid progression of kidney failure.
  • Acute renal failure which occurs when starting ACE-I or ARB type medicines.
  • Sudden aggravation of hypertension in an elderly patient whose blood pressure was previously well controlled.


Signs and tests:

Elevated blood pressure measurements, repeated over time, confirm hypertension.

There may also be signs of complications, such as:

Visualization methods to see artery narrowing (atherosclerosis or renal stenosis) include:

  • Renal arteriography (injection of dye into the renal artery so that a narrowing of the artery can be seen on an x-ray)
  • Doppler ultrasound of the renal arteries
  • Magnetic Resonance Angiography (MRA)
  • Angiotensin converting enzyme (ACE) inhibition renography

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