Definition

Narrowing of an artery supplying a kidney, commonly from atherosclerosis or fibromuscular dysplasia.

Symptoms

Difficult-to-control hypertension; sometimes kidney decline or pulmonary edema.

How it may be discovered

Investigation of resistant hypertension or unexplained renal impairment.

When to seek care

Specialist follow-up is needed; sudden breathlessness requires emergency care.

Investigations and tests

Doppler ultrasound, CT angiography or MR angiography according to kidney function and indication.

Reaching a diagnosis

A visible narrowing does not always explain symptoms; its functional significance matters.

Treatment options

Medical and vascular-risk treatment; revascularisation is reserved for selected situations.

These kidney guides are educational. Medical kidney disease may require coordinated care with a nephrologist.

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