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    The high blood pressure that is sometimes associated with a renal artery blockage may be the first sign that it is present, particularly if the hypertension is not responding to standard treatment. Urine and blood tests may or may not be useful in diagnosing this condition. Blood tests may show an elevated plasma creatinine level. If kidney tissue infarction (cell death caused by a lack of blood supply) has occurred, lactic dehydrogenase (LDH) may also be present in the urine and blood.

    An arteriogram, an x-ray study of the arteries that uses a radiopaque substance, or dye, to make the arteries visible under x ray, may also be performed. This test is used with caution in patients with impaired kidney function, as the contrast medium can cause further kidney damage. In patients with whom this is not an issue, a spiral computed tomography (CT) scan with contrast medium may also be used.

    Source: The Gale Group. Gale Encyclopedia of Medicine, 3rd ed.";

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