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Titolo:
Clinical characteristics of ischaemic renal disease
Autore:
Alcazar, JM; Marin, R; Gomez-Campdera, F; Orte, L; Rodriguez-Jornet, A; Mora-Macia, J;
Indirizzi:
Hosp 12 Octubre, Serv Nefrol, E-28041 Madrid, Spain Hosp 12 Octubre Madrid Spain E-28041 Serv Nefrol, E-28041 Madrid, Spain Hosp Covadonga, Oviedo, Spain Hosp Covadonga Oviedo SpainHosp Covadonga, Oviedo, Spain Hosp Gen Gregorio Maranon, E-28007 Madrid, Spain Hosp Gen Gregorio Maranon Madrid Spain E-28007 on, E-28007 Madrid, Spain Hosp Ramon y Cajal, E-28034 Madrid, Spain Hosp Ramon y Cajal Madrid Spain E-28034 n y Cajal, E-28034 Madrid, Spain Hosp Parc Tauli, Sabadell, Spain Hosp Parc Tauli Sabadell SpainHosp Parc Tauli, Sabadell, Spain Fdn Puigvert, Barcelona, Spain Fdn Puigvert Barcelona SpainFdn Puigvert, Barcelona, Spain
Titolo Testata:
NEPHROLOGY DIALYSIS TRANSPLANTATION
, volume: 16, anno: 2001, supplemento:, 1
pagine: 74 - 77
SICI:
0931-0509(2001)16:<74:CCOIRD>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
PERIPHERAL VASCULAR-DISEASE; ARTERY-STENOSIS; SURGICAL REVASCULARIZATION; RENOVASCULAR DISEASE; ISCHEMIC NEPHROPATHY; HYPERTENSION; ANGIOPLASTY; PREVALENCE; EXPERIENCE; THERAPY;
Keywords:
atherosclerotic renovascular disease; atheromatous renovascular hypertension; chronic renal insufficiency; ischaemic nephropathy; renal artery stenosis; renal ischaemia;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Alcazar, JM Hosp 12 Octubre, Serv Nefrol, Ctra Andalucia Km 5400, E-28041 Madrid, Spain Hosp 12 Octubre Ctra Andalucia Km 5400 Madrid Spain E-28041 n
Citazione:
J.M. Alcazar et al., "Clinical characteristics of ischaemic renal disease", NEPH DIAL T, 16, 2001, pp. 74-77

Abstract

Background. Longer life expectancy has favoured the ever more frequent development of ischaemic nephropathy characterized by the presence of atherosclerotic stenosis in both renal arteries. Methods. This is an observational and multicentre study: carried out during a 14-month follow-up period in 20 hospitals in Spain. Inclusion criteria were the presence of bilateral renal artery stenosis > 50% and a creatininelevel of greater than or equal to1.5 mg/dl. The diagnosis should be made by arterial digital angiography in every case. Results. A total of 156 patients were included. Their mean age was 68.7 +/-9 years, and 78.5% were male. The mean creatinine value of the group was 2.9 +/-1.7 mg/dl. Arterial hypertension (BP) with a duration of 12 +/-9 years was present in 97.4% of the cases, smoking habits in 69.8%, hypercholesterolaemia (greater than or equal to 240 mg/dl) in 62.9% and diabetes in 32.1%. Only 8% of the patients had a body mass index greater than or equal to 30 kg/m(2). Associated cardiovascular disease was very frequent: peripheral arteriopathy in 67.5% of the cases, ischaemic cardiopathy in 44.8%, cardiacinsufficiency in 32.6% and stroke in 27.3%. In 94.4% of the patients, the lesion affected both renal arteries, with complete obstruction in 23% of the cases. Conclusions. Diagnostic suspicion of ischaemic nephropathy can be established in non-obese elderly males with chronic renal insufficiency, long-term BP evolution and cardiovascular disease at other levels, above all, peripheral arteriopathy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 01:26:44