Renovascular Hypertension Differential Diagnoses

Updated: Jul 13, 2018
  • Author: Rebecca J Schmidt, DO, FACP, FASN; Chief Editor: Vecihi Batuman, MD, FASN  more...
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DDx

Diagnostic Considerations

Clues to the presence of renovascular hypertension (RVHT) that might lead to serious complications (eg, stroke, renal failure, and cardiac decompensation) include the following:

  • Recurrent and otherwise unexplained flash pulmonary edema or heart failure

  • Recalcitrant hypertension that previously was controlled easily

  • Hypertension that abruptly becomes more difficult to control and requires increased antihypertensive agents

  • Slowly increasing serum creatinine levels, signifying the evolution of ischemic nephropathy

In addition to the conditions listed in the differential diagnosis, other problems to be considered include the following:

  • Adrenal tumor

  • Aldosteronoma

  • Aortic insufficiency

  • Arterial hypoplasia

  • Cushing disease

  • Cushing syndrome

  • Essential hypertension

  • Fibromuscular dysplasia

  • Increased intracranial pressure

  • Intracranial mass

  • Irradiation

  • Moyamoya disease

  • Other nonessential forms of hypertension

  • Renal cyst

  • Renal failure

  • Renal hypoplasia

  • Renal parenchymal disease

  • Retinopathy

  • Stroke

  • Thrombosis

  • Umbilical catheter embolism

Differential Diagnoses