Reversal of ?one kidney? to ?two kidney? type of goldblatt hypertension in a patient with bilateral renal artery stenosis
| Autor: | E. Uhlich, G. Heberer, Scherer B, Peter C. Weber |
|---|---|
| Rok vydání: | 1977 |
| Předmět: |
Adult
medicine.medical_specialty Hypertension Renal Renal Artery Obstruction Renal Veins Renovascular hypertension Two kidney Internal medicine Renin Drug Discovery Renin–angiotensin system medicine Humans Genetics (clinical) Kidney medicine.diagnostic_test business.industry Sodium General Medicine medicine.disease Stenosis medicine.anatomical_structure Blood pressure Angiography Cardiology Molecular Medicine Female Renal vein business |
| Zdroj: | Klinische Wochenschrift. 55:907-910 |
| ISSN: | 1432-1440 0023-2173 |
| Popis: | A 32-year old hypertensive woman with bilateral renal artery stenosis of more than 50% on both sides was studied. Renal vein renin levels were low (0.3 ng/ml/h on the right side and 0.42 on the left) before surgical correction of the left renal artery. Thereafter, blood pressure was only temporarily reduced. Four months later a repeat angiography demonstrated a widely patent left renal artery and the stenosis on the right side was unchanged. Renal vein renin was 5.12 on the left and 11.2 on the right. Subsequent operation on the right side lead to normalization of blood pressure. Thus, our patient seems to demonstrate in sequence the characteristics of the two types of experimental renovascular hypertension known as “one kidney hypertension” and “two kidney hypertension”. Our findings suggest that the pathomechanisms of these experimental models are operative in man too. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink