High blood pressure can cause chronic renal failure?
High blood pressure can cause kidney damage, and may even develop into chronic renal failure. Mainly because of essential hypertension may be due to benign arteriolar nephrosclerosis and malignant arterial nephrosclerosis. Usually in patients aged over 40 years old, have a history of hypertension more than 5 to 10 years before kidney damage. Patients with hypertension, kidney damage can refolding. Can often be the heart and brain retinal vascular lesions. Rarely associated with low back pain and kidney disease characteristics, and could easily cause a misdiagnosis.
The slow progress of hypertensive renal injury, a small part gradually developed into renal failure, early only a small amount of proteinuria, the majority of mild renal damage and abnormal urine. Malignant hypertension diastolic blood pressure (low pressure) more than 120mmHg, associated with significant cardiovascular and cerebrovascular complications and the rapid development of massive proteinuria, often accompanied by hematuria, progressive loss of renal function.
General blood pressure continued to increase, often of 150/100mmHg above; eyelids and / or lower extremity edema, heart community to expand; majority of arteriosclerotic retinopathy, especially when exudative retinal hemorrhage and cotton wool, to support the renal artery sclerosis diagnosis.
The Shijiazhuang nephropathy hospital specialists Liu Weixu clinical manifestations of urine when there is a bubble, less tangible ingredients microscopy, may have hematuria, uric acid increased more than, β2-MG increased, the progress after the blood urea nitrogen, creatinine increased, renal dysfunction gradually increased, nocturia increased. Diagnosis of the disease should distinguish between a variety of secondary hypertension, especially hypertension caused by chronic nephritis. Often through is to have high blood pressure and kidney damage or kidney disease, high blood pressure to identify. At the same time for the malignant renal atherosclerosis, acute renal failure should be rapidly progressive glomerulonephritis, systemic vasculitis disease identification.
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