Low-Dose Captopril Scintigraphy in the Evaluation of Renovascular Hypertension
Autor: | Steven Farber, Scott Savader, Luis E. Tenorio, German Ramirez, Carl D. Brueggemeyer, Ian B. Tyson, Polly A. Bittle |
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Rok vydání: | 1990 |
Předmět: |
Adult
Male medicine.medical_specialty Captopril medicine.medical_treatment Urology Administration Oral urologic and male genital diseases Scintigraphy Renal Veins Renovascular hypertension Renal Artery medicine.artery Renin medicine Humans Radiology Nuclear Medicine and imaging cardiovascular diseases Renal artery Radionuclide Imaging Technetium Tc 99m Pentetate Aged Aged 80 and over Chemotherapy medicine.diagnostic_test business.industry Organotechnetium Compounds General Medicine Middle Aged Pentetic Acid medicine.disease female genital diseases and pregnancy complications Surgery Radiography Stenosis Hypertension Renovascular Iodohippuric Acid Renal vein business circulatory and respiratory physiology medicine.drug |
Zdroj: | Clinical Nuclear Medicine. 15:480-484 |
ISSN: | 0363-9762 |
DOI: | 10.1097/00003072-199007000-00005 |
Popis: | This study compared the results of renal scintigraphy with simultaneous administration of Tc-99m DTPA and I-131 Hippuran (before and after 25 mg of oral captopril) with the results of the renal arteriogram and renal vein renins (before and after the administration of 25 mg of oral captopril) to evaluate the sensitivity and specificity of renal scintigraphy in the diagnosis of renovascular hypertension. The results of 21 consecutive patients suspected of having renovascular hypertension who underwent scintigraphy and renal arteriography were analyzed. Renal scintigraphy postcaptopril detected all the cases of renovascular hypertension (eight patients) plus two additional patients who had significant renovascular stenosis but no renin overproduction. The results indicate that the renal scintigram, before and after the administration of captopril, is an accurate and sensitive test for the detection of renovascular hypertension and should be used as a screening procedure before arteriography is considered. |
Databáze: | OpenAIRE |
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