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Atherosclerotic Renovascular Disease

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Secondary Hypertension

Abstract

Atherosclerotic renal artery stenosis is considered to be one of the most common causes of secondary hypertension. However, the mechanisms whereby such a stenosis causes an elevated blood pressure is largely unknown. Although the renin–angiotensin system has frequently been implicated as the most important mediator, there is a substantial body of evidence suggesting that other factors, related to hypoperfusion, are at least as, if not more, relevant. So far, treatment trials have failed to show much benefit of angioplasty with or without stent placement over and above medical treatment. However, this issue has still not been resolved.

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Correspondence to Peter W. de Leeuw .

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de Leeuw, P.W., Tsioufis, C. (2020). Atherosclerotic Renovascular Disease. In: Morganti, A., Agabiti Rosei, E., Mantero, F. (eds) Secondary Hypertension . Updates in Hypertension and Cardiovascular Protection. Springer, Cham. https://doi.org/10.1007/978-3-030-45562-0_2

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  • DOI: https://doi.org/10.1007/978-3-030-45562-0_2

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