Effective treatments for renal hypertension

Renal or nephrogenic arterial hypertension – one of the most dangerous and life-threatening pathological conditions. Arterial hypertension, which develops as a result of pathological processes in the organs of the urinary system and their vessels, threatens the patient with the development of serious complications. One of the most dangerous consequences of nephrogenic hypertension is the development of chronic renal failure, as a result of which the patient may need to switch to lifelong dialysis. Effective treatment of renal hypertension helps to avoid dangerous complications and save the patient's life.

What methods of treatment of renal hypertension are used today

The treatment of renal hypertension is aimed at improving the general condition of the patient, adequately controlling blood pressure, preventing the onset or slowing the progression of chronic renal failure, and prolonging the life of the patient. To achieve these goals, medical and surgical methods of treatment are currently used. The survival of patients with renal hypertension is directly related to how successfully their blood pressure can be corrected.

Treatment of renal hypertension:

• indications for medical treatment of renal hypertension;
• what drugs are used to treat renal hypertension;
• surgical treatments for renal hypertension.

Indications for prescription of medical treatment of renal hypertension

Medical treatment of renal hypertension is less effective than surgery. Its main goal is to constantly control blood pressure, minimize damage to target organs, and also prevent the occurrence of complications of the disease. There are certain indications for medical treatment of renal hypertension, which include:

• old age of patients;
• pronounced atherosclerosis;
• impossibility of surgical treatment due to technical difficulties;
• high risk of surgery;
• the patient's own refusal of invasive treatments;
• doubtful signs of hemodynamically significant renal artery stenosis.

What drugs are used to treat renal hypertension

Drug treatment of renal hypertension involves the administration of a combination of drugs necessary to stabilize blood pressure. The appointment of combined regimens of therapy with beta-blockers, calcium antagonists, ACE inhibitors, diuretics and peripheral vasodilators is recommended. The combination should be selected by the attending physician individually for each patient, in accordance with the characteristics of the course of his disease. For patients with tachycardia, beta-blockers are the drugs of choice, for patients with bradycardia  or with a normal heart rate – calcium antagonists. ACE inhibitors are often second-line drugs.

Why do certain groups of drugs stop working in the treatment of renal hypertension?

Surgical treatment of renal hypertension

Surgical treatment of renal hypertension is reduced to the correction of vascular lesions, which underlie the development of the disease. This can be done by using various methods of expanding the stenotic artery using special devices mounted at the end of the catheter inserted into the vessel. The most common surgical intervention of this kind today is X-ray endovascular balloon dilatation. The essence of the method is the introduction of a special catheter into the artery, at the distal end of which a balloon is fixed. After being introduced into the balloon, liquid is injected under high pressure, thus expanding & nbsp; artery. This method of treatment helps to get a good effect with minimal trauma to healthy body tissues.

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