Clinical analysis on 285 documented cases of renovascular hypertension reported in the Japanese medical literatures revealed Takayasu’s syndrome occupied 30%, followed by fibromuscular hyperplasia 18% and atherosclerosis 13%. Some of the subjects were compared with that of the Cooperative Study of Renovascular Hypertension in USA. Influenced by Takayasu’s syndrome, renovascular hypertension in Japan has younger age distribution and more female preponderance than that of the Euro-American countries. Bilateral and proximal renal artery stenosis, young female majority and poor surgical prognosis are the features of renovascular hypertension due to Takayasu’s syndrome.

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