RAS : Symptoms

RAS is associated with certain clinical clues, which, if appreciated by physicians, may result in earlier diagnosis. Some of these clues include:

Worsening blood pressure control in someone whose blood pressure had previously been well-controlled.
The need for >3 medications at maximal doses for blood pressure control.
Severe high blood pressure with a symptom (heart attack, stroke, aortic dissection or rupture).
Development of renal failure when taking certain medications: Angiotensin Converting Enzyme Inhibitors (captopril, enalapril, lisinopril, etc.)
Angiotensin II Receptor Antagonists (losartan, candesartran, irbesartran, etc.)
High blood pressure and artery disease in the coronary, carotid, lower extremity arteries, or with an abdominal aortic aneurysm.
Major difference in kidney size from one side to the other.
Repeated episodes of sudden severe heart failure, especially if the heart squeezing function is normal.
Kidney failure without an obvious cause.

Renovascular Hypertension section was last modified: April 25, 2008 - 05:01 pm