| Renovascular hypertension: a noninvasive screening approach using captopril renography. | |
| | |
MedLine Citation:
|
PMID: 7572294 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Noninvasive cost-effective screening of hypertensive patients for renovascular hypertension is a desirable approach to a rare disorder. Currently many patients are screened with angiography, which is both invasive and expensive. METHODS: A MEDLINE search from 1985 through July 1994 using the key words "renovascular hypertension," "noninvasive," "screening" generated 16 references. We reviewed these references, as well as several additional references, in an effort to find a reliable noninvasive screening test for renovascular hypertension. RESULTS AND CONCLUSIONS: To date, the most reliable noninvasive screening test for renovascular hypertension is captopril renography. Results of captopril renography allow the physician to diagnose renovascular hypertension with an accuracy of greater than 90 percent. Cost-effectiveness requires appropriate selection of high-risk hypertensive patients for subsequent investigation with captopril renography. Hypertensive patients who have fibromuscular dysplasia, which is most commonly found in young white women, have the best treatment outcomes. |
| | |
Authors:
|
L S Bujenovic |
Related Documents
:
|
7100954 - Treatment for a nondisease: the case of low blood pressure. 9550654 - Is blood pressure related to kidney size and shape? 9197994 - Evaluation of a nurse-based hypertension management program: screening, management, and... 12431144 - Renal atrophy outcome after revascularization in fibromuscular dysplasia disease. 8125004 - Components of the work of breathing and implications for monitoring ventilator-dependen... 21670554 - Circulatory and central nervous system responses to different types of mental stress. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of the American Board of Family Practice / American Board of Family Practice Volume: 8 ISSN: 0893-8652 ISO Abbreviation: J Am Board Fam Pract Publication Date: 1995 Jul-Aug |
Date Detail:
|
Created Date: 1995-11-21 Completed Date: 1995-11-21 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 8807505 Medline TA: J Am Board Fam Pract Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 295-9 Citation Subset: IM |
Affiliation:
|
Department of Radiology, University of North Carolina Hospitals, Chapel Hill 27599, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Administration, Oral Angiotensin-Converting Enzyme Inhibitors / administration & dosage, diagnostic use Antihypertensive Agents / administration & dosage, diagnostic use Captopril / administration & dosage, diagnostic use* Cost-Benefit Analysis Female Humans Hypertension, Renal / prevention & control*, radionuclide imaging* Male Mass Screening / economics, methods Patient Selection Radioisotope Renography / economics, methods* Sensitivity and Specificity |
| Chemical | |
Reg. No./Substance:
|
0/Angiotensin-Converting Enzyme Inhibitors; 0/Antihypertensive Agents; 62571-86-2/Captopril |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Spider bites.
Next Document: Occupational medicine content of Oregon family physician practices.