Renal Hypertension Treatment

Secondary hypertension from renal causes should be suspected when: your blood pressure is difficult to control despite three or more medications; you developed hypertension at a young age (under 30); there is a significant difference in kidney size on imaging; blood pressure suddenly worsened after starting an ACE inhibitor or ARB (suggesting renal artery stenosis); or you have abnormal kidney function tests alongside hypertension. Our partner nephrologist-hypertension specialists will conduct a structured secondary hypertension workup including renal artery imaging, urinary catecholamines (to exclude phaeochromocytoma), aldosterone-renin ratio, and renal function testing to determine whether a treatable cause exists — a diagnosis that is often missed in under-resourced healthcare settings.