Which one of the following is not a feature of renal aery stenosis?
In renal aery stenosis - Hypeension is difficult to control with drugs. Patients often respond to Revascularization procedures like percutaneous renala aery angioplasty . There may be decline in GFR during therapy with ACE -inhibitors or ARB'S. Renal aery stenosis can be unilateral or bilateral, so kidneys may be asymmetrical . Atherosclerosis is the common cause of renal aery stenosis in elderly. Ref:Harrison 20 th edition pg no 1906
Kidney
Hypeension responds well to drugs
Kidneys may be asymmetrical
Atherosclerotic plaques are common
Serum creatinine may increase with ACE inhibitors
Hypeension responds well to drugs