The Evaluation of Clinical Signs in Patients with Suspected Renovascular Hypertension
Yıl: 2018 Cilt: 27 Sayı: 1 Sayfa Aralığı: 32 - 38 Metin Dili: İngilizce DOI: 10.5262/tndt.2018.1001.03 İndeks Tarihi: 28-02-2020
The Evaluation of Clinical Signs in Patients with Suspected Renovascular Hypertension
Öz: OBJECTIVE: Renovascular hypertension (RVH) is the most common yet correctable cause ofsecondary hypertension if diagnosed early. There are many clinical signs that can suggest RVH. Theaim of this study was to find which clinical or laboratory signs are more indicative in diagnosing RVHand in determining which patients should go through renal angiography.MATERIAL and METHODS: The study included 184 patients who presented to our clinic due tohypertension and were under risk of RVH. All patients underwent three-dimensional time-of-flightMagnetic Resonance Angiography with phase-contrast. The patients were divided into two groups aswith and without renal artery stenosis, supported by MRA.RESULTS: Advanced age, low body mass index, high serum creatinine level, presence of proteinuria,and patients with diabetes mellitus and coronary artery disease were found to be significant risk factorsfor RVH. Only the presence of renal asymmetry and the history of coronary artery disease were foundto be independent risk factors.CONCLUSION: In conclusion, detailed patient history and the evaluation of renal size are veryimportant for patients with hypertension. Coronary artery disease and a difference in renal size of morethan 1.5 cm could be strong indicators of RVH.
Anahtar Kelime: Konular:
Renovasküler Hipertansiyon Şüphesi Olan Hastalarda Klinik İpuçlarının Değerlendirilmesi
Öz: AMAÇ: Renovasküler hipertansiyon (RVH); erken teşhis edildiğinde sekonder hipertansiyonun en fazla düzeltilebilme ihtimali olan nedenlerinden biridir. RVH’u destekleyen pek çok klinik ipucu bulunmaktadır. Çalışmanın amacı, RVH tanısında, klinik ve laboratuvar ipuçlarından hangilerinin daha belirleyici olduğunu bulmak ve renal anjiyografi yapılması gereken hastaları belirlemektir. GEREÇ ve YÖNTEMLER: Çalışmaya hipertansiyon nedeni ile başvuran ve RVH için risk faktörü taşıyan 184 hasta dahil edildi. Tüm hastalara üç boyutlu kontrastlı manyetik rezonans anjiyografi (MRA) uygulandı. Hastalar MRA sonucuna göre; renal arter stenozu olanlar ve olmayanlar şeklinde iki gruba ayrıldı. BULGULAR: İleri yaş, düşük vücut kitle indeksi, yüksek serum kreatinin seviyesi, proteinüri, diabetes mellitus ve koroner arter hastalığı varlığı, RVH için önemli risk faktörleri olarak bulundu. Koroner arter hastalığı öyküsü ile renal asimetri varlığı bağımsız risk faktörü olarak saptandı. SONUÇ: Sonuç olarak, ayrıntılı öykü alınması ve böbrek boyutunun değerlendirilmesi hipertansiyon hastaları için büyük önem taşımaktadır. Koroner arter hastalığı ve böbrek boyutları arasında 1.5 cm’den büyük fark, RVH’nun güçlü birer göstergesi olabilir.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | TEKKARIŞMAZ N, TORUN D, Ozkan U, ZÜMRÜTDAL A, Özdemir Acar F (2018). The Evaluation of Clinical Signs in Patients with Suspected Renovascular Hypertension. , 32 - 38. 10.5262/tndt.2018.1001.03 |
| Chicago | TEKKARIŞMAZ Nihan,TORUN Dilek,Ozkan Ugur,ZÜMRÜTDAL Ayşegül,Özdemir Acar Fatma Nurhan The Evaluation of Clinical Signs in Patients with Suspected Renovascular Hypertension. (2018): 32 - 38. 10.5262/tndt.2018.1001.03 |
| MLA | TEKKARIŞMAZ Nihan,TORUN Dilek,Ozkan Ugur,ZÜMRÜTDAL Ayşegül,Özdemir Acar Fatma Nurhan The Evaluation of Clinical Signs in Patients with Suspected Renovascular Hypertension. , 2018, ss.32 - 38. 10.5262/tndt.2018.1001.03 |
| AMA | TEKKARIŞMAZ N,TORUN D,Ozkan U,ZÜMRÜTDAL A,Özdemir Acar F The Evaluation of Clinical Signs in Patients with Suspected Renovascular Hypertension. . 2018; 32 - 38. 10.5262/tndt.2018.1001.03 |
| Vancouver | TEKKARIŞMAZ N,TORUN D,Ozkan U,ZÜMRÜTDAL A,Özdemir Acar F The Evaluation of Clinical Signs in Patients with Suspected Renovascular Hypertension. . 2018; 32 - 38. 10.5262/tndt.2018.1001.03 |
| IEEE | TEKKARIŞMAZ N,TORUN D,Ozkan U,ZÜMRÜTDAL A,Özdemir Acar F "The Evaluation of Clinical Signs in Patients with Suspected Renovascular Hypertension." , ss.32 - 38, 2018. 10.5262/tndt.2018.1001.03 |
| ISNAD | TEKKARIŞMAZ, Nihan vd. "The Evaluation of Clinical Signs in Patients with Suspected Renovascular Hypertension". (2018), 32-38. https://doi.org/10.5262/tndt.2018.1001.03 |
| APA | TEKKARIŞMAZ N, TORUN D, Ozkan U, ZÜMRÜTDAL A, Özdemir Acar F (2018). The Evaluation of Clinical Signs in Patients with Suspected Renovascular Hypertension. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, 27(1), 32 - 38. 10.5262/tndt.2018.1001.03 |
| Chicago | TEKKARIŞMAZ Nihan,TORUN Dilek,Ozkan Ugur,ZÜMRÜTDAL Ayşegül,Özdemir Acar Fatma Nurhan The Evaluation of Clinical Signs in Patients with Suspected Renovascular Hypertension. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 27, no.1 (2018): 32 - 38. 10.5262/tndt.2018.1001.03 |
| MLA | TEKKARIŞMAZ Nihan,TORUN Dilek,Ozkan Ugur,ZÜMRÜTDAL Ayşegül,Özdemir Acar Fatma Nurhan The Evaluation of Clinical Signs in Patients with Suspected Renovascular Hypertension. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, vol.27, no.1, 2018, ss.32 - 38. 10.5262/tndt.2018.1001.03 |
| AMA | TEKKARIŞMAZ N,TORUN D,Ozkan U,ZÜMRÜTDAL A,Özdemir Acar F The Evaluation of Clinical Signs in Patients with Suspected Renovascular Hypertension. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi. 2018; 27(1): 32 - 38. 10.5262/tndt.2018.1001.03 |
| Vancouver | TEKKARIŞMAZ N,TORUN D,Ozkan U,ZÜMRÜTDAL A,Özdemir Acar F The Evaluation of Clinical Signs in Patients with Suspected Renovascular Hypertension. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi. 2018; 27(1): 32 - 38. 10.5262/tndt.2018.1001.03 |
| IEEE | TEKKARIŞMAZ N,TORUN D,Ozkan U,ZÜMRÜTDAL A,Özdemir Acar F "The Evaluation of Clinical Signs in Patients with Suspected Renovascular Hypertension." Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, 27, ss.32 - 38, 2018. 10.5262/tndt.2018.1001.03 |
| ISNAD | TEKKARIŞMAZ, Nihan vd. "The Evaluation of Clinical Signs in Patients with Suspected Renovascular Hypertension". Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 27/1 (2018), 32-38. https://doi.org/10.5262/tndt.2018.1001.03 |
