Renovascular hypertension: screening and modern management

被引:44
作者
Baumgartner, Iris [2 ]
Lerman, Lilach O. [1 ]
机构
[1] Mayo Clin, Div Nephrol & Hypertens, Rochester, MN 55905 USA
[2] Univ Bern, Dept Clin & Intervent Angiol, Swiss Cardiovasc Ctr, CH-3012 Bern, Switzerland
关键词
Atherosclerosis; Renovascular disease; Renovascular hypertension; Percutaneous transluminal renal angioplasty; RENAL-ARTERY STENOSIS; CHRONIC KIDNEY-DISEASE; PRESSURE-GRADIENT MEASUREMENTS; INCREASED OXIDATIVE STRESS; FOLLOW-UP; DUPLEX ULTRASOUND; CARDIAC-CATHETERIZATION; STENT PLACEMENT; FIBROMUSCULAR DYSPLASIA; CARDIOVASCULAR-DISEASE;
D O I
10.1093/eurheartj/ehq510
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The diagnosis and management of patients with renovascular disease and hypertension continue to elude healthcare providers. The advent of novel imaging and interventional techniques, and increased understanding of the pathways leading to irreversible renal injury and renovascular hypertension, have ushered in commendable attempts to optimize and finetune strategies to preserve or restore renal function and control blood pressure. Large randomized clinical trials that compare different forms of therapy, and smaller trials that test novel experimental treatments, will hopefully help formulate innovative concepts and tools to manage the patient population with atherosclerotic renovascular disease.
引用
收藏
页码:1590 / 1598B
页数:11
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