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HIPERTENSIÓN / 2016 / VOL. 21

66

Factores a considerar en el manejo de la EAAR

Figura Nº 7

Figura 7: Manejo de la EAAR

Estenosis > 70 %

EDEMA PULMONAR AGUDO RECURRENTE

HTA resistente > 3 antihipertensivos en altas dosis por > meses

EAAR bilateral o EAAR en monorreno con oclusión contralateral

Reducción progresiva de la VFG > 30 % en ≤ 12 meses

Indice resistivo < 0.8 en ecografía doppler renal

Ausencia de proteinuria

Tamaño renal > 8 cms

NO

Arteriografía con

eventual intervención endovascular

Tratamiento médico como paciente

de alto riesgo cardiovascular

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