Ed 11 Chapter 045 : Renovascular Hypertension and Ischemic Nephropathy

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A 67-year-old male with stable renal function and a creatinine of approximately 3 mg/dL presents with peripheral vascular disease and a blood pressure of 160/70 mm Hg. He was a long-standing smoker but has recently stopped. He is referred for evaluation for treatment of "ischemic nephropathy." He has hyperlipidemia and had a myocardial infarction 3 years before presentation. His current medications are a calcium channel blocker, an adequate-dose diuretic, and a statin. Which of the following is the most appropriate next step?

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