Balancing Overscreening and Underdiagnosis in Secondary Hypertension The Case of Fibromuscular Dysplasia

被引：5

作者：

Ruzicka, Marcel ^{[1
]}

Kucharski, Sarah E. ^{[2
,3
]}

Hiremath, Swapnil ^{[1
]}

机构：

[1] Univ Ottawa, Ottawa Hosp, Div Nephrol, 1967 Riverside Dr, Ottawa, ON K1H 7W9, Canada

[2] Stanford Univ, E Patient Programs, Medicinex, 300 Pasteur Dr,Grant Bldg,Room 5268, Stanford, CA 94305 USA

[3] FMDCHAT, Canton, NC 28716 USA

来源：

CARDIOLOGY CLINICS | 2017年 / 35卷 / 02期

关键词：

Secondary hypertension; Renovascular hypertension; Fibromuscular dysplasia; Hypertension; Screening; Renal artery stenosis; RENAL-ARTERY STENOSIS; UNITED-STATES REGISTRY; BLOOD-PRESSURE; US REGISTRY; DISEASE; ASSOCIATION; EXPRESSION; CHILDHOOD; DONORS;

D O I：

10.1016/j.ccl.2016.12.006

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Knowledge about fibromuscular dysplasia (FMD) has broadened over the last several decades. It is no longer considered a rare and benign entity limited to renal arteries and causing just hypertension. It affects other parts of the arterial tree nearly as frequently as the renal arteries. Complications of undiagnosed and untreated extrarenal FMD can be debilitating and life threatening. However, this disease, specifically extrarenal FMD, is not well known to many physicians and patients. Combined with the nonspecific symptoms and signs of the disease, this leads to delayed diagnosis and missed opportunity to prevent serious vascular complications.

引用

页码：247 / +

页数：9

共 30 条

[1] Stenting and Medical Therapy for Atherosclerotic Renal-Artery Stenosis [J].

Cooper, Christopher J. ;

Murphy, Timothy P. ;

Cutlip, Donald E. ;

Jamerson, Kenneth ;

Henrich, William ;

Reid, Diane M. ;

Cohen, David J. ;

Matsumoto, Alan H. ;

Steffes, Michael ;

Jaff, Michael R. ;

Prince, Martin R. ;

Lewis, Eldrin F. ;

Tuttle, Katherine R. ;

Shapiro, Joseph I. ;

Rundback, John H. ;

Massaro, Joseph M. ;

D'Agostino, Ralph B. ;

Dworkin, Lance D. .

NEW ENGLAND JOURNAL OF MEDICINE, 2014, 370 (01) :13-22

[2] UROGRAPHIC AND ANGIOGRAPHIC FINDINGS IN A NORMAL POPULATION - SCREENING OF 151 SYMPTOM-FREE POTENTIAL TRANSPLANT DONORS FOR RENAL-DISEASE [J].

FRICK, MP ;

GOLDBERG, ME .

AMERICAN JOURNAL OF ROENTGENOLOGY, 1980, 134 (03) :503-505

[3] Clinical and biochemical profiles suggest fibromuscular dysplasia is a systemic disease with altered TGF-10.1096/fj.14-251207β expression and connective tissue features [J].

Ganesh, Santhi K. ;

Morissette, Rachel ;

Xu, Zhi ;

Schoenhoff, Florian ;

Griswold, Benjamin F. ;

Yang, Jiandong ;

Tong, Lan ;

Yang, Min-Lee ;

Hunker, Kristina ;

Sloper, Leslie ;

Kuo, Shinie ;

Raza, Rafi ;

Milewicz, Dianna M. ;

Francomano, Clair A. ;

Dietz, Harry C. ;

Van Eyk, Jennifer ;

McDonnell, Nazli B. .

FASEB JOURNAL, 2014, 28 (08) :3313-3324

[4] Non-Contrast Renal Artery MRA Using an Inflow Inversion Recovery Steady State Free Precession Technique (Inhance): Comparison with 3D Contrast-Enhanced MRA [J].

Glockner, James F. ;

Takahashi, Naoki ;

Kawashima, Akira ;

Woodrum, David A. ;

Stanley, David W. ;

Takei, Naoyuki ;

Miyoshi, Mitsuharu ;

Sun, Wei .

JOURNAL OF MAGNETIC RESONANCE IMAGING, 2010, 31 (06) :1411-1418

[5]

Goldblatt H, 1934, J EXP MED, V59, P347, DOI 10.1084/jem.59.3.347

[6] Differences between the pediatric and adult presentation of fibromuscular dysplasia: results from the US Registry [J].

Green, Rebecca ;

Gu, Xiaokui ;

Kline-Rogers, Eva ;

Froehlich, James ;

Mace, Pamela ;

Gray, Bruce ;

Katzen, Barry ;

Olin, Jeffrey ;

Gornik, Heather L. ;

Cahill, Ann Marie ;

Meyers, Kevin E. .

PEDIATRIC NEPHROLOGY, 2016, 31 (04) :641-650

[7]

HARRISON EG, 1971, MAYO CLIN PROC, V46, P161

[8]

HEFFELFINGER MJ, 1970, AM J CLIN PATHOL, V54, P274

[9] Dissection and Aneurysm in Patients With Fibromuscular Dysplasia Findings From the US Registry for FMD [J].

Kadian-Dodov, Daniella ;

Gornik, Heather L. ;

Gu, Xiaokui ;

Froehlich, James ;

Bacharach, J. Michael ;

Chi, Yung-Wei ;

Gray, Bruce H. ;

Jaff, Michael R. ;

Kim, Esther S. H. ;

Mace, Pamela ;

Sharma, Aditya ;

Kline-Rogers, Eva ;

White, Christopher ;

Olin, Jeffrey W. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2016, 68 (02) :176-185

[10] Hypertension in unilateral renal disease [J].

Leadbetter, WF ;

Burkland, CF .

JOURNAL OF UROLOGY, 1938, 39 (05) :611-626

← 1 2 3 →