Overview on Renovascular Hypertension: Review Article
Mohammed Salah Hussein *
Department of Gastroenterology and Endoscopy, Dr Samir Abbas Hospital, Jeddah, Saudi Arabia and Department of Internal Medicine, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Almutairi, Samia Nouh
King Abdulaziz University, Saudi Arabia.
Azam Mohammed Alnamy
King Abdulaziz University, Saudi Arabia.
Alsulami, Roaya Ayed
King Abdulaziz University, Saudi Arabia.
Zainab Ali Alshaikh
Arabian Gulf University, Saudi Arabia.
Abdulaziz Homoud A. Alrethaia
King Abdulaziz University, Saudi Arabia.
Lamia Abdulaziz Aljeraisy
King Saud Medical City, Saudi Arabia.
Thekra Zaidan albalawi
Tabuk University, Saudi Arabia.
Ethar Abdulrahman H. Almohseny
King Khalid University, Saudi Arabia.
Fatimah Turki AlGhamdi
Al Amal Complex for Mental Health, Dammam, Saudi Arabia.
Alrayuf Mohammad Alothri
Tumair General Hospital, Tumair, Saudi Arabia.
Alotaibi, Turki Abdulelah R
Communicable Disease Control Directorate, Taif, Saudi Arabia.
Ali Aziz Al-sayed
Al-qunfudah General Hospital, Saudi Arabia.
*Author to whom correspondence should be addressed.
Abstract
Renovascular hypertension (RVH) is a prevalent cause of secondary hypertension that frequently develops to resistant hypertension. It is characterised as systemic hypertension that develops as a result of a restricted blood supply to the kidneys. Patients cannot be recognized clinically from those with essential hypertension; therefore, diagnosis requires arteriography, however urography and isotope renography may hint to the diagnosis. Atherosclerotic renal artery stenosis (ARAS) and fibromuscular dysplasia are the two most prevalent causes of RVH. The ultimate objective of controlling RVH, like with other kinds of hypertension, is to minimize the morbidity and mortality associated with high blood pressure The widespread use of effective antihypertensive medication treatment, statins, and other strategies to control vascular disease has resulted in remarkable improvements. In this review we will be looking at etiology, pathogenesis and treatment or RVH.
Keywords: Renovascular hypertension, ARAS, fibromuscular dysplasia, arteriography