5 doctors weighed in:

When is a screening for renal artery stenosis medically necessary?

5 doctors weighed in
Dr. Kevin Griffiths
Internal Medicine - Nephrology & Dialysis
1 doctor agrees

In brief: Uncontrolled BP

When a patient who is taking 3 or 4 blood presure medicines but still has an elevated blood pressure, then they should be screened for renal artery stenosis (ras).
Additionally, any individuals who are younger then 30 or older than 60 who have blood pressures in 200/100 range should also be checked.

In brief: Uncontrolled BP

When a patient who is taking 3 or 4 blood presure medicines but still has an elevated blood pressure, then they should be screened for renal artery stenosis (ras).
Additionally, any individuals who are younger then 30 or older than 60 who have blood pressures in 200/100 range should also be checked.
Dr. Kevin Griffiths
Dr. Kevin Griffiths
Thank
1 comment
Dr. Andris Kazmers
Any hypertensive patient who develops renal insufficiency after taking ACE inhibitors or ARBS should have renal duplex ultrasound as should patients with atherosclerosis and progressive renal insufficiency. Also those with flash pulmonary edema should be evaluated. Lower BP thresholds for screening appropriate (> 170 systolic or > 105 diastolic).
Dr. Clarence Grim
Internal Medicine - Endocrinology

In brief: Renal artery stenose

I specializes in this and can give much more detail during a 2nd opinion.
Anyone with HTN at young age, sudden onset. severe HTN, abdominal bruit, drug resistant HTN ( not at goal with at least 3 drugs one of which is a diuretic and low salt diet.

In brief: Renal artery stenose

I specializes in this and can give much more detail during a 2nd opinion.
Anyone with HTN at young age, sudden onset. severe HTN, abdominal bruit, drug resistant HTN ( not at goal with at least 3 drugs one of which is a diuretic and low salt diet.
Dr. Clarence Grim
Dr. Clarence Grim
Thank

In brief: Multiple

New onset or rapidly worsening hypertension.
Difficult blood pressure control multi- drug regimens abdominal aneurysm worsening renal function testing.

In brief: Multiple

New onset or rapidly worsening hypertension.
Difficult blood pressure control multi- drug regimens abdominal aneurysm worsening renal function testing.
Dr. Creighton Wright
Dr. Creighton Wright
Thank
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