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3.2.3.2. Renal Artery Stenosis
COR LOE
Recommendations
1 A
1. In adults with hypertension and atherosclerotic renal artery
stenosis, medical therapy is recommended to reduce kidney
and CVD morbidity and mortality.
2a C-EO
2. In adults with hypertension and atherosclerotic renal
artery stenosis for whom medical management has failed
(eg, resistant hypertension, worsening kidney function,
and/or acute HF), it is reasonable to refer patients for
revascularization by percutaneous renal artery angioplasty
and/or stent placement.
2b C-LD
3. In adults with hypertension and nonatherosclerotic renal
artery stenosis, including fibromuscular dysplasia, it may
be reasonable to refer patients for revascularization by
percutaneous renal artery angioplasty.
3.2.3.3. Obstructive Sleep Apnea
COR LOE
Recommendations
2a B-R
1. In adults with hypertension and OSA who have overweight
or obesity, weight loss interventions when combined with
continuous positive airway pressure (CPAP) treatment can be
effective in reducing SBP.
2a B-R
2. In adults with resistant hypertension and moderate-to-severe
OSA, CPAP treatment can be useful in reducing BP.
