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Renovascular Hypertension: Diagnosis

 
Medical Encyclopedia: Renovascular Hypertension: Diagnosis

No single test for renovascular hypertension is definitive. About half of patients with renovascular hypertension have a specific cardiovascular sound that is heard when a doctor listens to the upper abdomen with a stethoscope. Other diagnostic tests give occasional false positive and false negative results. Most tests are expensive, and some involve serious risks.

Imaging studies are used to diagnose renovascular hypertension. In intravenous urography, a dye is injected into the kidney, pictures are made, and the kidneys compared. In renal arteriography, contrast material is inserted into the renal artery and cinematic x rays (showing motion within the kidney) are taken. Studies of kidney function are performed. Tests are done to measure renin production. The results of these tests taken together are used to diagnose renovascular hypertension.

— Tish Davidson



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