Renovascular hypertension

Renovascular hypertension treatment in Hebbal, Bangalore

Renovascular hypertension is high blood pressure driven by renal arteries becoming more constricted, and another name for this problem is renal artery stenosis. Unknown causes of primary hypertension are excessive blood pressure levels, and Renovascular hypertension is the most frequent cause of secondary hypertension or high blood pressure, with a known aetiology.

Renovascular hypertension (RVHT) reflects the causative relationship between increased blood pressure and physically apparent arterial occlusive illness. This kind of non-essential hypertension is often defined as the presence of renal arterial vascular (i.e., renovascular) disease with hypertension. After an intravascular intervention, as hypertension enhances, more precise diagnoses are made.

Relations between Blood Pressure and Kidney

Your blood arteries in the kidneys, especially the filtering organs in charge of cleansing your blood, are put under more stress when you have high blood pressure. Like other body parts, these blood veins tend to thicken over time, and the filtering organs might leave scars. Both of these modifications can cause your kidneys to stop performing their function, eliminating wastes and extra fluid from your body and resulting in chronic kidney disease.

When your kidneys aren't functioning correctly, they can raise blood pressure by releasing specific hormones or making your body retain salt and water. One of the main factors contributing to renal failure is high blood pressure.


A partial or complete blockage of the arteries that carry blood to your kidneys causes renal hypertension. These kidney arteries deliver oxygen- and nutrient-rich blood from your heart to your kidneys. If your kidneys are not receiving enough blood or oxygen, a disease known as renal artery stenosis may be to blame.

The most frequent cause of renal artery stenosis is atherosclerosis or hardening of the arteries. Plaque, which forms inside your arteries and causes them to stiffen and narrow, is made up of fat, cholesterol, calcium, and other elements (stenosis). The blood flow through an artery in the heart, brain, pelvis, legs, arms, or kidneys can be entirely or partially blocked by plaque.


Be mindful of the following symptoms even though renal hypertension is difficult to diagnose and typically has no signs,

  • They use three or more drugs, including a diuretic, at their highest dosages, which do not control high blood pressure.

  • Uncontrollable or suddenly worsening stable high blood pressure.

  • Poorly functioning kidneys, which might happen unexpectedly

  • Narrowing of arteries that provide blood to the legs, brain, eyes, and other body parts

  • Pulmonary oedema is a sudden fluid buildup inside the lungs.


A comprehensive history and physical exam can indicate that vascular disease may be present in healthcare professionals. You are more likely to develop renal artery stenosis if you account for other vascular conditions, such as heart attacks or strokes. A stethoscope exam that involves listening to the neck or abdomen may be used to detect constricted arteries. A bruit is the whooshing sound made by blood when it passes through a narrowed artery.

If the kidney arteries have narrowed, imaging studies can reveal this.

Several other kinds of tests, including the following, can be used for the same purpose, 

  • Duplex ultrasound.

  • Catheter angiogram.

  • Magnetic resonance angiography (CTA).

  • Computerised tomographic angiography (MRA).


At the Renovascular hypertension treatment in Hebbal, Bangalore, your blood pressure should be reduced as a result. Two particular types of drugs may be more effective at regulating blood pressure in patients with renal hypertension:

  • Inhibitors of the angiotensin-converting enzyme (ACE).

  • Blockers of the angiotensin receptor (ARBs).

If surgery is chosen, the invasive angioplasty with stenting treatment is customised.

It facilitates improved blood flow via the kidney's artery. Those who have the following may choose it,

  • The renal artery is severely narrowed, and blood pressure is resistant to medication management.

  • Kidneys that aren't functioning well and are getting worse quickly.

Contact at Manipal Hospitals now for consultation. 

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