Primary malignant renal arterial sclerosis prognosis?

Primary malignant renal arterial sclerosis prognosis with the following factors : (a) the degree of blood pressure control : If not adequately control blood pressure, the prognosis of malignant hypertension serious one, the mortality rate is 80% ~ 90%, the vast majority of whom died of uremia. Since the application of powerful drugs for hypertension, has been greatly improved prognosis, it was 83 patients found that 1-year and 5-year survival rates were 94% and 75%. Kidney patients (normal renal function),% 1, 66% for the five years to 51%, due to this effect : ① full control of the blood pressure, thus preventing renal failure; ② use of dialysis therapy. (2) the treatment of renal function : Some people have compared the treatment of BUN "10.7mmol / L (" 30mg/dL) and BUN "10.7 mmol / L of the two groups of patients a year survival rate, 13% for the former and the latter to 73%, a marked difference show prognosis and treatment of renal function prior to the state. Many also report a better prognosis, they found a small malignant renal arterial sclerosis associated with renal failure patients After strict control of blood pressure, final (even through a few months to several years of maintenance hemodialysis) the renal function despite the dramatic recovery, In these reports the majority of cases is a strong vasodilator long PRESS, and using a beta-blocker and hemodialysis. Such treatment often refractory hypertension or unable to tolerate traditional antihypertensive agents of the patients blood pressure returned to normal.