Renovascular hypertension is a potentially curable form of secondaryhypertension generally due to either atherosclerosis or fibromusculardysplasia of one or both renal arteries.1,2 The critical elementpromoting hypertension in this disorder is reduced arterialperfusion to one or both kidneys,1 leading to increased productionof renin, which elevates circulating angiotensin II levels.1,2The resultant high-renin hypertensive state is associated withmoderate-to-severe elevation of blood pressure, with an attendanthigh risk of cardiovascular disease and progressive loss ofrenal function in the flow-deprived kidney.1 Treatment of renovascularhypertension with angioplasty, stenting, or surgery affordsan opportunity to reduce blood pressure . . . [Full Text of this Article]
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