Question

First-line tx for HTN and renal artery stenosis? When to do surgery?

a) ACE inhibitors; Surgery for >70-80% stenosis with uncontrolled HTN or renal insufficiency
b) Beta-blockers; Surgery for >50% stenosis with uncontrolled HTN or renal insufficiency
c) Calcium channel blockers; Surgery for >90-95% stenosis with uncontrolled HTN or renal insufficiency
d) Diuretics; Surgery for any degree of stenosis with uncontrolled HTN or renal insufficiency

Answer 1

The first-line treatment for hypertension and renal artery stenosis depends on the severity of the stenosis and blood pressure control. ACE inhibitors are commonly used for hypertension, and surgery for renal artery stenosis is considered for severe cases with difficult-to-control hypertension or renal insufficiency.

Step-by-step explanation:

The first-line treatment for hypertension and renal artery stenosis depends on the severity of the stenosis, blood pressure control, and renal function. Option a) ACE inhibitors are commonly used as a first-line treatment for hypertension. Surgery for renal artery stenosis is generally considered when the stenosis is >70-80% and difficult to control hypertension or renal insufficiency are present. Options b) Beta-blockers; c) Calcium channel blockers; and d) Diuretics are not the first-line treatment for renal artery stenosis.