[The fate of patients with renovascular hypertension after surgical and drug therapy].

The results of treatment of 328 patients with renovascular hypertension, including 235 cases of surgical correction, are analyzed. Late results (6-month to 14-year follow-up) are examined in 160 surgical cases. The incidence of hypertensive relapses was shown to increase with the duration of follow-up; its major causes were identified. Five-year success rate was estimated at 68%, using actuarial techniques, and five-year postsurgery survival rate was 83.7%. The outcomes of conservative treatment were reviewed in 45 cases followed up for up to 7 years. The results suggest that conservative treatment for renovascular hypertension is not advisable as it aggravates vital prognosis and results in stable loss of working capacity in 60% of the patients, while operations provide an opportunity to maintain working capacity as a long-term perspective in 58% of the patients.