Renovascular Hypertension Differential Diagnoses

Updated: Dec 01, 2020
  • 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 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