Renal Artery Stenosis - CRASH! Medical Review Series

(Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnosis of any illness. If you think you may be suffering from any medical condition, you should consult your physician or seek immediate medical attention.)

[@dr.atouisttx]

you're by far one of the best tutors

[@larrybaker9464]

I'm 68 with stroke at 60. July 2018 my bp elevated to 180 190 over 100 105. Cartiologist performed heart then renal. Stenosis found left side. Performed renal stint 8 2 18. Within 10 days bp 125 over 75. On plavix and Norvasc. Lisinopril and HTC and 81 my aspirin. 5 11 and 220. Now 200 lbs. With diet. All waiting to determine success.

[@lajewel4615]

I was in the hospital 7 months ago for a nose bleed that wouldn’t stop and I had my blood pressure taken and it was 165/144. I was immediately put in a heart monitor and had an IV started and had a CT scan of my head and an ultrasound with dye and they found my artery was 70% blocked. I’m 37 years old and am really happy to be ok. I’m happy a stroke isn’t what put me in that hospital it was a nose bleed because my bp was so high! I see a nephrologist every 6 months and he talks about a stent. Since you have had one put in was it the right decision? I take 5 bp pills a day and monitor my bp and it’s been ok.

[@DrDinooshDeLivera]

Thank you Dr. Bolin. BTW what are the differences between Doppler vs Duplex Ultrasound?

[@ahmadkhatib131]

hi why the ACEI is indicated in the unilateral RAS and contraindicated in the bilateral one !? thank you

[@rmu1486]

Because renal perfusion is decreased in RAS. Ace inhibitor causes vaso dilation blood instead of moving forward will get pooled backward decreasing GFR further. May be this is the rewason

[@Rhanyra]

I have watched a few videos and I’m confused by one thing. Granted, my hypertensive episodes happened 3 months ago (it took me 3 months to get in to see a nephrologist) but I just had labs done and the aldosterone was within normal limits, and only the renin was high. Every video I’ve watched mentions that both the aldosterone and renin would be high. I have an ultrasound tomorrow of the kidneys and then I get the results next week. I’m 38.

[@سعودالسرهيد-ف9ت]

HTN crisis or emergency is defined as systolic pressure above 180 not 220.