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NetWellness provides the highest quality health information and education services created and evaluated by faculty of our partner universities.
Thursday, July 29, 2010
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NetWellness provides the highest quality health information and education services created and evaluated by faculty of our partner universities.
Thursday, July 29, 2010
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High Blood Pressure |
Renal artery stenosis02/27/2006 |
high blood pressure meds you should not take with renal artery stenosis?
Two classes of drugs can cause worsening of kidney function when renal artery stenosis is present: Angiotensin converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs). However,these two classes have also been shown to help preserve kidney function in may forms of kidney disease, especially diabetes.
Renal artery stenosis can cause hypertension. In that case, ACEIs and ARBs are excellent treatment. However, if the renal artery stenosis is severe,these two classes for drugs can cause worsening of kidney function. In that case, these drugs must be stopped. Angioplasty or stent placement can open up the renal artery and solve the problem. However, risk and benefits of intervention have to be carefully considered.
In summary, ACEis and ARBs can be very helpful in renal artery stenosis, but can also be harmful, depending on the severity of the stenosis and other factors. Each patient should be evaluated and renal artery studies should be performed if necessary, before treatment decisions can be made.
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Max C. Reif, MD Director, Hypertension Section Division of Nephrology & Hypertension Department of Internal Medicine College of Medicine University of Cincinnati |
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