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Abstract:
(Critical) This program, part of a symposium on hypertension in office practice discusses the diagnosis and therapy of renovascular hypertension. Hemodynamically significant renal artery stenosis which causes hypertension is differentiated from incidental stenotic lesions which are not responsible for high blood pressure. Techniques of renovascular surgery over the last 25 years are reviewed; but the drugs, therapy, diagnostic tools, practices, and criteria for recommending surgery currently being used are not discussed. Case examples depicting fibromuscular dysplasia, unilateral renal artery stenosis, atheromasti diseases are illustrated. Surgical and medical therapy are compared; however, the diagnostic function of saralasin is not discussed and a bias toward the surgical approach is evinced, with little discussion of alternatives. The speaker is clear and articulate. Much of the material is outdated, the presentation is not well organized, and some of the tables and graphs are illegible. This is a general, rather than comprehensive discussion which is recommended for limited use only.
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