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Home > West Medicine > Internal Medicine > Cardiology
I15.100x001

Renoparenchymal Hypertension

心内科

Common symptoms

血尿、微炎症状态、尿蛋白、肾间质纤维化、脉压小、糖代谢紊乱、顽固性高血压、代谢性酸中毒

The pathology of disease

Renoparenchymal hypertension is secondary hypertension due to intrinsic renal parenchymal disease (glomerulonephritis, chronic kidney disease, polycystic kidney), common and often severe. Treatment: strict BP control (target <130/80); renal-protective ACE inhibitor/ARB; low-salt diet; treat underlying renal disease; dialysis/transplant for end-stage kidney disease; monitor electrolytes and renal function.

Common Symptoms

Hypertension; underlying renal disease; edema/proteinuria; CKD progression

Causes and Pathogenesis

Renal parenchymal disease causes sodium retention and RAAS activation, raising BP.

Treatment

Strict BP control; ACEi/ARB (renal protection); low salt; treat renal disease; dialysis if ESKD

Preventive Measures

Screen BP/renal function in renal disease; low salt.

Department to Visit

It is recommended to visit the Nephrology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.