Download Clinical Aspects of Renovascular Hypertension by P. van Brummelen (auth.), R. van Schilfgaarde MD, J. C. PDF

By P. van Brummelen (auth.), R. van Schilfgaarde MD, J. C. Stanley MD, P. van Brummelen MD, E. H. Overbosch MD (eds.)

Diagnostic and healing equipment and controversies within the administration of renovascular high blood pressure have gone through significant ch- ges in past times few years. This booklet is predicated at the lawsuits of a profitable postgraduate Boerhaave direction held in 1982 on the college of drugs of the college of Leiden, The Netherlands. present ideas in regards to the prognosis and remedy of reno­ vascular high blood pressure have been awarded in this path to an viewers composed of physicians, nephrologists, cardiologists, surgeons, uro­ logists, and radiologists. hence, this booklet goals at supplying an summary of tho,se facets of renovascular high blood pressure that are appropriate to medical pr- tice. An attempt is made to check the presently to be had moda­ lities of diagnostic tactics, either at the foundation of contemporary in­ attractions within the pathology and pathophysiology of renovascular hyper­ rigidity, in addition to well timed r'esul ts of scientific study. In advert­ dition, numerous chapters take care of mixtures of those di- nostic methods in a manner that may be of functional assist in clin;cal selection making. The clinical, surgical and angioplastic modalities of therapy are reviewed. easy issues bearing on scientific remedy and technical features of surgical in addition to in line with­ cutaneous angioplasty are provided intimately, either individually and together. exact recognition is given to the matter of renal artery stenosjs in k~dney transplants. This ebook deals brand new info on scientific facets of renovascular high blood pressure, important to a variety of clinicians in various disciplines.

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Studies on experimental hypertension. 1. The production of persistent elevation of systolic blood pressure by means of renal ischemia. J. Exp. Med. 22-: 347. Brown JJ, Cuesta V, Davies DL, Lever AF, Morton JJ, Padfield PL, Robertson JIS, Trust P. 1974. Mechanism of renal hypertension. Lancet i: 1219. Horton JJ, Wallace ECH. 1982. Changes in blood pressure, renin and angiotensin II in the two-kidney one-clip Goldblatt rat: the importance of angiotensin II in the development and maintenance of hypertension.

55 The examinations of thirty-nine patients (49%) were assigned to the first category, indicating the examination was of sufficient quality as to permit its interpretation as normal. The images of thirty patients (38%) depicted renal artery stenoses (Fig. 2 and 3). In all but one case, the lesions were atherosclerotic in appearance and there were often associated changes in the aorta. The remaining case demonstrated characteristic alterations of medial fibroplasia isolated to the midrenal artery on the right.

C Figure 2. Renography in the absence and presence of renal artery stenosis. ' a. ',1~orma 1 131 1 h lppuran renograp h y n. 131 1 hippuran renography in a case with angiographically proven renal artery stenosis on the right side . Note the typically flattened curve. c. Normal 123 1 hippuran renography obtained by computerized data processing. This technique provides the additional possibility of clearly visualizing the kidneys and the urinary pathways. B. Curves a. and b. should be read from right to left.

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