The diagnosis of vasorenal arterial hypertension

Clinical and specific examination of 525 patients with special emphasis on ultrasonic, radionuclide and angiographic procedures, a captopril pharmaco-radiological test, radioimmunoassay of renin in the renal vein and vena cava inferior provided the diagnosis of vasorenal hypertension (VRH) in 65 of...

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Published inUrologiia i nefrologiia no. 2; p. 38
Main Authors Darenkov, S P, Makarova, T I, Osmolovskiĭ, E O, Mynkina, N Iu, Obukhova, T V
Format Journal Article
LanguageRussian
Published Russia (Federation) 01.03.1994
Subjects
Adolescent
Adult
Algorithms
Blood Pressure
Chronic Disease
Combined Modality Therapy
Female
Humans
Hypertension, Renovascular - diagnosis
Hypertension, Renovascular - physiopathology
Hypertension, Renovascular - surgery
Male
Methods
Middle Aged
Postoperative Care
Remission Induction
Renal Artery - surgery
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Summary:Clinical and specific examination of 525 patients with special emphasis on ultrasonic, radionuclide and angiographic procedures, a captopril pharmaco-radiological test, radioimmunoassay of renin in the renal vein and vena cava inferior provided the diagnosis of vasorenal hypertension (VRH) in 65 of them (30 males, 35 females at the age of 18-60). Among etiological factors atherosclerosis, fibromuscular dysplasia, nephroptosis, renal artery aneurysm, aortic arteritis were involved in 40%, 24.6%, 16.9%, 12.3%, 6.2% of the cases, respectively. Chronic renal failure developed in 17% of VRH patients with the disease duration more than 3 years. Also, aspects of evaluation of cardiovascular function with invasive and noninvasive techniques in pre-, intra- and postoperative periods, indications to VRH, basic operative procedures are reviewed. According to WHO criteria, a complete response was obtained in 21 (35.6%), a partial response in 34 (57.6%) patients, no response was registered in 1 (1.7%) case.
ISSN:0042-1154