What medicine does renal artery stenosis take

summary

Renal artery stenosis is a kind of renal vascular disease caused by a variety of causes. The main clinical manifestations are renal vascular hypertension and ischemic nephropathy. As long as the renal artery stenosis or obstruction is removed in time and the diseased blood vessels are unobstructed again, hypertension can be cured and renal dysfunction can be reversed. Let's share the knowledge about what medicine to take for renal artery stenosis.

What medicine does renal artery stenosis take

First: this medicine is very difficult to cure completely. It is suggested that you regularly review it, operate if necessary, exercise properly, and pay attention to low-fat and low salt diet.

Second: renal artery stenosis caused by hypertension with drugs is not much effect, this belongs to secondary hypertension, and we usually say hypertension is different. It is usually said that primary hypertension is caused by the weakening of the elasticity of blood vessels, and secondary hypertension is caused by etiology. For primary hypertension, as long as the etiology is removed, there is no need to take antihypertensive drugs. It is suggested that interventional surgery should be performed to open the narrow artery.

Third: drug therapy can not prevent the progression of renal artery stenosis, but can help control hypertension and improve symptoms. ACEI or ARB is often the first choice for patients with unilateral renal artery stenosis with high renin, but it must be started from a small amount and gradually increased to avoid too fast and too low blood pressure. Patients with bilateral renal artery stenosis should not take the above drugs. In order to effectively control blood pressure, it is often necessary to use a variety of antihypertensive drugs. Nowadays, there are many powerful antihypertensive drugs. Drug therapy can often effectively control renovascular hypertension, and there is no difference between drug therapy and PTRA in the long-term survival rate of patients. Therefore, many scholars believe that drug therapy should be the first choice for renovascular hypertension.

matters needing attention

Warm reminder: the incidence rate of this disease is relatively low. Therefore, it is generally not recommended that all hypertensive patients undergo clinical screening for renal artery stenosis. But there is no noninvasive test that is sensitive enough to exclude all renal artery stenosis. Therefore, it is often difficult for doctors to determine whether it is renovascular hypertension.