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Renovascular hypertension: Review

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dc.contributor.author Yildiz, S.
dc.contributor.author Yaylali, Y.T.
dc.date.accessioned 2019-08-16T12:39:04Z
dc.date.available 2019-08-16T12:39:04Z
dc.date.issued 2012
dc.identifier.issn 13067656 (ISSN)
dc.identifier.uri http://acikerisim.pau.edu.tr:8080/xmlui/handle/11499/8345
dc.description.abstract Hypertension, one of the risk factors for development of cardiovascular diseases, is classified as primary and secondary according to the mechanism of development. Secondary hypertension is the elevation of blood pressure, whose underlying cause can be defined and often be treatable. The most common cause of secondary hypertension is renovascular hypertension (RVHTN). RVHTN is defined as blood pressure elevation due to obstructive disease of one or two main renal arteries or their branches. The main reason of RVHTN is stenosis from atherosclerosis affecting main renal artery, and the most of the remaining cases are fibromuscular dysplasia. The former is mostly seen in men at an advanced age, the latter is especially seen in young women. If RVHTN is suspected after clinical evaluation, noninvasive diagnostic tests first must be done. If the non invasive test results are positive, renal arteriography must definitely be considered to confirm the diagnosis. The aim of therapy for RVHTN is to regulate blood pressure, prevent problems that are caused by ischemia due to renal artery stenosis, and reverse such problems. Severity of hypertension, etiology of RVHTN, the presence of renal function abnormalities, and the presence of comorbid conditions that affect the patient's survival are important in guiding treatment. Four treatment alternatives are under consideration for RVHTN cases: medical treatment, percutaneous transluminal renal angioplasty (PTRA), PTRA and stent placement, and surgical revascularization. Every outpatient clinic should make a treatment choice according to their experience and after careful consideration of the patient's risks and benefits from revascularization therapy. Copyright © 2012 by Türkiye Klinikleri.
dc.language.iso Turkish
dc.subject Hypertension
dc.subject Renal artery obstruction
dc.subject Renovascular
dc.subject atherosclerosis
dc.subject blood pressure regulation
dc.subject fibromuscular dysplasia
dc.subject human
dc.subject kidney arteriography
dc.subject kidney artery stenosis
dc.subject non invasive measurement
dc.subject percutaneous transluminal angioplasty
dc.subject percutaneous transluminal renal angioplasty
dc.subject renovascular hypertension
dc.subject revascularization
dc.subject review
dc.subject sex difference
dc.subject stent
dc.title Renovascular hypertension: Review
dc.type Review
dc.relation.journal Turkiye Klinikleri Cardiovascular Sciences
dc.identifier.volume 24
dc.identifier.issue 3
dc.identifier.startpage 206
dc.identifier.endpage 212
dc.identifier.index Scopus

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