Table 3.1

Evaluation for Renal Artery Stenosis—Potential Signs and/or Symptoms

IndicationAppropriate Use Score (1–9)
Creatinine Elevation and/or Hypertension
34.
  • Malignant hypertension (see Assumptions)

A (8)
35.
  • Resistant hypertension (see Assumptions)

A (8)
36.
  • Worsening blood pressure control in long-standing hypertensive patient

A (8)
37.
  • Hypertension in young person (age <35 years)

A (8)
38.
  • Unexplained size discrepancy between kidneys (>1.5 cm; in longest dimension)

A (7)
39.
  • Unknown cause of azotemia (e.g., unexplained increase in creatinine)

A (7)
40.
  • Increased creatinine (>50% baseline or above normal levels) after the administration of ACE/ARBs

A (8)
41.
  • Acute renal failure with aortic dissection

A (8)
42.
  • Epigastric bruit

A (7)
Heart Failure of Unknown Origin
43.
  • Refractory CHF

A (7)
44.
  • “Flash” pulmonary edema

A (8)

ACE = angiotensin-converting enzyme inhibitor; ARB = angiotensin II receptor blocker; CHF = congestive heart failure.