TITLE

Spectrum of Renovascular Hypertension in the Young in North India: A Hospital Based Study on Occurrence and Clinical Features

AUTHOR(S)
Sharma, B. K.; Sagar, S.; Chugh, K. S.; Sakhuja, V.; Rajachandran, A.; Malik, N.
PUB. DATE
June 1985
SOURCE
Angiology;Jun1985, Vol. 36 Issue 6, p370
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Occurrence of renovascular hypertension and its etiology is described in this work as seen in north India. Out of 2395 young hypertensives admitted for evaluation during the years 1978-1983, 91 patients (3.8%) were found to be having renovascular hypertension. In all patients suspected diagnosis of RVH was confirmed by the angiography of aorta and main vessels. Idiopathic aortoarteritis, diagnosed in 54 patients (59.4%) was the commonest cause of renovascular hypertension. In this group renal arterial involvement was found to be bilateral in 26 patients. Twenty-eight patients had isolated renal artery stenosis of unknown etiology. Six had fibromuscular dysplasia, 2 had polyarteritis and one had renal artery aneurysm. Twenty-three patients underwent surgery which included autotransplantation, arterial by-pass and nephrectomy' with improved blood pressure control in 15. It is concluded that aortoarteritis seems to be the major cause of renovascular hypertension in the young in this part of the world.
ACCESSION #
16473672

 

Related Articles

  • Pseudo-Coarctation of the Abdominal Aorta Associated with Renovascular Hypertension. Kawarabayashi, Takahiko; Nishikimi, Toshio; Takeuchi, Kazuhide; Takeda, Tadanao // Angiology;Apr1985, Vol. 36 Issue 4, p215 

    A case of pseudo-coaretation of the abdominal aorta associated with renovascular hypertension has been reported. The abdominal aorta of the patient was kinked at the level of L1-L2 without a pressure gradient, which was consistent with pseudo-coarctation of aorta. Both renal arteries arose from...

  • Renovascular Hypertension with Unilateral Atherosclerotic Renal Artery Occlusion: Diagnostic Use of Renal Vein Renins. Simon, Geza; Limas, Catherine C.; Miller, Robert P. // Angiology;Nov1982, Vol. 33 Issue 11, p728 

    Selective renal vein renin studies were performed in seven male patients with severe hypertension and atherosclerotic occlusion of a main renal artery. In five patients, peripheral plasma renin activity was increased, and there was evidence for hypersecretion of renin from the affected kidney...

  • Overview: Angiotensin converting enzyme inhibition in renovascular hypertension. Johnston, Colin I.; Jackson, Bruce // Kidney International Supplement;May1987, Issue 20, p154 

    Provides an overview of studies concerning angiotensin converting enzyme (ACE) inhibition in renovascular hypertension. Renin-angiotensin-aldosterone system; Experimental studies; Clinical studies; Incidence of deterioration of renal function in patients treated with ACE inhibitors; Mechanisms...

  • When herding hypertensives, treat them all like horses, not zebras. Shepherd, Sandra; Cadwallader, Kara; Jankoswki, Terry Ann // Journal of Family Practice;Sep2005, Vol. 54 Issue 9, p813 

    This article examines the treatment of hypertension. There are patients who benefit from physicians looking for and treating renovascular hypertension. A very few patients benefit by needing fewer drugs, while a few are harmed by complications of revascularization. No benefit in overall...

  • Peripheral and Renal Vein Renin Activity in Patients with Renovascular Hypertension Due to Nonspecific Aortoarteritis. Lall, S. B.; Dave, V.; Dash, S.C.; Bhargava, S. // Angiology;Dec1991, Vol. 42 Issue 12, p979 

    The diagnostic utility of peripheral and renal vein renin estimations in relation to angiographic findings was evaluated in 13 patients with renovascular hypertension and non-specific aortoarteritis (NSAA, Gr I), in comparison with 10 patients with renal artery stenosis due to other causes (Gr...

  • Renovascular hypertension. Vaughan Jr., E. Darracott // Kidney International;May1985, Vol. 27 Issue 5, p811 

    Comments on the case of a 29-year-old white female with renovascular hypertension. Presentation of the woman with intermittent dizziness and elevated blood pressure; Effect of transluminal renal angioplasty on the patient; Reason why the initial renin values were nondiagnostic.

  • Treatment of renovascular hypertension: One year results of renal angioplasty. Jensen, Gert; Zachrisson, Bo-F.; Delin, Krister; Volkmann, Reinhard; Aurell, Mattias // Kidney International;Dec1995, Vol. 48 Issue 6, p1936 

    During the ten year period from 1981 to 1991, percutaneous transluminal renal angioplasty (PTRA) was performed in 180 renal arteries in 137 patients, where the underlying renovascular disease was fibromuscular dysplasia (FMD) in 30 patients (22%) and arteriosclerotic vascular disease (AVD) in...

  • Renal Artery Stenosis and a Functioning Hilar Paraganglioma: A Rare Cause of Renovascular Hypertension. Chandra, V.; Thompson, G. B.; Bower, T. C.; Taler, S. J. // Vascular & Endovascular Surgery;Jul/Aug2004, Vol. 38 Issue 4, p385 

    Surgically correctable causes of hypertension are uncommon. Simultaneous occurrence of 2 such causes in the same individual is extremely rare. The authors describe a 25-year-old woman with congenital erythrocytosis, renal artery stenosis, and a paraganglioma. The possible mechanisms of renal...

  • Report of a case with surprising etiology of renovascular hypertension. Zumrutdal, A.; Tercan, F.; Oguzkurt, L.; Sezer, S.; Ozdemir, F. Nurhan // Clinical Nephrology;2005, Vol. 64 Issue 6, p444 

    Takayasu arteritis is a chronic, idiopathic, inflammatory disease that primarily affects large vessels, such as the aorta and its main branches. Epidemiologically, it is found mostly in female patients and is more prevalent in Asian and Latin American countries. Disease may be heterogeneous in...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics