The kidney as a victim of essential hypertension

被引:0
|
作者
Zucchelli, P
Zuccala, A
机构
关键词
hypertension; nephrosclerosis; progressive renal disease; renal artery stenosis; cholesterol microembolism;
D O I
暂无
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Over the past decade the prevalence of end stage renal disease has risen progressively in industrialized societies. According to the data of renal disease Registries hypertensive nephrosclerosis appears to be a very important cause of progressive renal disease. However epidemiological data on the risk of hypertensive patients to develop renal failure offer contrasting results, In observational longitudinal studies a higher rate of decline in renal function is generally found in hypertensive compared to normotensive subjects, On the other hand, the inability of antihypertensive therapy to influence kidney destiny emerges from the large majority of interventional studies on mild-moderate hypertension in caucasian patients. At variance, the role of hypertension as etiologic factor seems to be sufficiently clear in African Americ: hypertension is more common, more severe and less easily to handle in a black patients. It is probable that the diagnosis of hypertensive nephrosclerosis is a confounding label laidon a heterogeneous group of diseases comprising a true hypertensive nephropathy (typical of black patients) along with occlusive or atheroembolic diseases common in aged caucasian patients, Our future efforts will have to be directed towards better identifying and properly classifying the various subgroup in order to optimize the treatment and prevent renal failure.
引用
收藏
页码:203 / 206
页数:4
相关论文
共 50 条
  • [31] THE KIDNEY AS ONE OF THE TARGET ORGANS IN ESSENTIAL-HYPERTENSION
    NEKRASOVA, AA
    TERAPEVTICHESKII ARKHIV, 1987, 59 (08) : 143 - 146
  • [32] KIDNEY FUNCTION AND HEMORHEOLOGICAL PARAMETERS IN THE ESSENTIAL HYPERTENSION PATIENTS
    Dmitriev, V.
    Oschepkova, E.
    Ageeva, N.
    Titov, V.
    Rogoza, A.
    JOURNAL OF HYPERTENSION, 2015, 33 : E356 - E356
  • [33] Blood pressure-kidney volume relationship in essential hypertension
    Laganovic, M
    Jelakovic, B
    Kuzmanic, D
    Borso, G
    Roncevic, T
    Vdovic, M
    Zeljkovic, T
    Kasner, M
    Smuc, T
    Gamberger, D
    JOURNAL OF HYPERTENSION, 2004, 22 : S220 - S220
  • [35] Increased acid excretion in kidney stone formers with essential hypertension
    Losito, Attilio
    Nunzi, Emidio Giovanni
    Covarelli, Carla
    Nunzi, Elisabetta
    Ferrara, Gaetano
    NEPHROLOGY DIALYSIS TRANSPLANTATION, 2009, 24 (01) : 137 - 141
  • [36] Metabolic disturbances as strong determinator of kidney injury in essential hypertension
    Tylicki, L
    Rutkowski, B
    JOURNAL OF HYPERTENSION, 2005, 23 (07) : 1433 - 1434
  • [37] Multigene kinase network, kidney transport, and salt in essential hypertension
    Welling, Paul A.
    Chang, Yen-Pei C.
    Delpire, Eric
    Wade, James B.
    KIDNEY INTERNATIONAL, 2010, 77 (12) : 1063 - 1069
  • [38] Renal Tissue Oxygenation in Essential Hypertension and Chronic Kidney Disease
    Pruijm, Menno
    Hofmann, Lucie
    Vogt, Bruno
    Muller, Marie-Eve
    Piskunowicz, Maciej
    Stuber, Matthias
    Burnier, Michel
    INTERNATIONAL JOURNAL OF HYPERTENSION, 2013, 2013
  • [39] The effect of losartan and perindopril on kidney function in patients with essential hypertension
    Lin, JX
    Chen, DQ
    Wu, KQ
    JOURNAL OF HYPERTENSION, 2002, 20 : S375 - S375
  • [40] Protective effect of benazepril on kidney in patients with essential hypertension.
    Shude, T
    Hang, QW
    AMERICAN JOURNAL OF HYPERTENSION, 1999, 12 (04) : 77A - 77A