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Table 1 Clinical clues to suggest the presence of atherosclerotic renovascular disease

From: Renal Athersosclerotic reVascularization Evaluation (RAVE Study): Study protocol of a randomized trial [NCT00127738]

Clinical clues
   • DBP >95 or ISH with uncontrolled BP despite 2 drugs.
   • Declining GFR – Creatinine rises >20% with ACEI/ARB or >20% rise over 1 year without glomerulonephritis or diabetes.
   • Hypokalemia with hypertension, high renin.
   • Abdominal bruit.
   • Flash pulmonary edema.
   • Peripheral vascular disease and other atherosclerotic manifestations -coronary artery disease, cerebrovascular disease.
   • Atherosclerotic risk factors – older age (> 55), smoking, hyperlipidemia, diabetes, hypertension, male gender.