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

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 ebook is predicated at the lawsuits of a profitable postgraduate Boerhaave direction held in 1982 on the school of drugs of the college of Leiden, The Netherlands. present suggestions about the prognosis and therapy 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 delivering an outline of tho,se facets of renovascular high blood pressure that are appropriate to scientific pr- tice. An attempt is made to check the at the moment to be had moda­ lities of diagnostic strategies, either at the foundation of contemporary in­ attractions within the pathology and pathophysiology of renovascular hyper­ stress, in addition to well timed r'esul ts of scientific examine. In advert­ dition, numerous chapters take care of combos of those di- nostic strategies in a way that may be of useful assist in clin;cal selection making. The scientific, surgical and angioplastic modalities of therapy are reviewed. uncomplicated concerns pertaining to clinical remedy and technical features of surgical in addition to in keeping with­ cutaneous angioplasty are provided intimately, either individually and together. designated cognizance is given to the matter of renal artery stenosjs in k~dney transplants. This ebook deals modern details on medical features of renovascular high blood pressure, helpful to a variety of clinicians in numerous disciplines.

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2c). At present only preliminary data are available, and no extensive study to determine specificity and sensitivity for the detection of renal artery stenosis with the use of 123I-hippuran and computerized data analysis has yet been performed. RENAL VEIN RENIN SAMPLING Split renal vein sampling in order to assess the amount of renin produced by each kidney may be helpful in diagnosing renovascular hypertension (10,11). In order to perform selective sampling of the renal veins succesfully, two items are of importance.

Acta Radiologica 39: 385-400, 1953 5. : Renal mobility and hypertension. Thesis Groningen 1980 6. : Intravenous urography in investigation of hypertension. Lancet 2: 57-58, 1975 7. : Limited use of hypertensive excretory urography. Urol Radiol 3: 209-211, 1982 8. : The role of intravenous urography in hypertension. Radiol Clin North Am 17: 187-196, 1979 9. : The role of abdominal radiography in hypertension secondary to renal or adrenal disease. Med Clin North Am 59: 169-200, 1975 10. A. : Diagnosis of renovascular hypertension and evaluation of "Surgical" curability.

11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. Folkow B. 1978. Cardiovascular structural adaptation: its role in the initiation and maintenance of primary hypertension. Clin Sci 55 (Suppl. 4): 3. Cowley AW, DeClue JW. 1976. Quantification of baroreceptor influence on arterial pressure changes seen in primary angiotensininduced hypertension in dogs. Circ Res 39: 779. Barnes KL, Brosnihan KB, Ferrario CM. 1977. Animal models, hypertension and central nervous system mechanisms. Mayo Clin Proc 52: 387.

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