Table 3 Diagnostic clues to renovascular hypertension

From: Chapter 12. Secondary hypertension

Hypertension that develops at 30 years of age, or at 50 years of age
Recent onset or rapid exacerbation of hypertension
Grade III or resistant hypertension
Symptoms or findings of vascular disease in other sites
Deterioration of renal function after the start of treatment with ACE inhibitors or ARB
Abdominal vascular bruit
Laterality in the kidney size
Progressive renal failure, congestive heart failure and pulmonary edema