The most common cause of renal artery stenosis is atherosclerosis, the same condition that causes narrowing of the arteries in coronary heart disease and stroke, and the risk factors are the same as well. Cholesterol plaques build up along the walls of the renal artery and gradually cause narrowing.
Oxytocin is a commonly used uterotonic that can cause significant and even fatal hypotension, particularly when given as a bolus. The resulting hypotension can be produced by a decrease in systemic vascular resistance or cardiac output through a decrease in venous return.
A number of medical conditions may cause severe hypotension. For example, heart problems such as extremely low heart rate (bradycardia), heart valve problems and heart failure can cause severely low blood pressure because they prevent the body from being able to circulate enough blood.