Who should be screened for renal artery stenosis

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Who should be screened for renal artery stenosis?

Features suggestive of renal artery stenosis include:

• Abrupt onset of hypertension at a relatively young age (30 years old) or older age (>50 years old)

• Worsening control of previously well treated hypertension

• Recurrent episodes of “flash pulmonary edema”

• Kidney failure precipitated by initiation of antihypertensive therapy—especially angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs)

• Unexplained kidney failure

• Unilateral atrophic kidney

• Abdominal bruit

• Unexplained hypokalemia

• The presence of atherosclerotic disease in other vascular beds.

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