Prevalence and predictors of atherosclerotic renal artery stenosis in hypertensive patients undergoing simultaneous coronary and renal artery angiography; a cross-sectional study
| Autor: | Mehrian Jafarizade, Shahab-Aldin Sattari, Forough Nokhostin, Babak Payami, Seyed Seifollah Beladi Mousavi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Cross-sectional study Urology medicine.medical_treatment Coronary angiography 030232 urology & nephrology 030204 cardiovascular system & hematology Renal artery stenosis 03 medical and health sciences 0302 clinical medicine Internal medicine medicine.artery Medicine Family history Renal artery Cardiac catheterization medicine.diagnostic_test business.industry Arterial stenosis medicine.disease Nephrology Heart failure Angiography Hypertension Cardiology Original Article Radiology business |
| Zdroj: | Journal of Renal Injury Prevention |
| ISSN: | 2345-2781 |
| Popis: | Introduction: According to the non-specific presentation of atherosclerotic renal artery stenosis (ARAS), this disease is usually an under-diagnosed in clinical conditions. Objectives: The aim of the presence study was to evaluate the prevalence of renal artery stenosis (RAS) and its related risk factors in hypertensive patients undergoing coronary angiography. Patients and Methods: In a cross-sectional study, between March 2009 and October 2010, all of hypertensive patients candidate for diagnostic cardiac catheterization, underwent nonselective renal angiography before completion of their coronary angiography procedure. A standardized questionnaire was used to collect demographics, cardiac history, indications for cardiac catheterization and angiographic data. The degree of ARAS was estimated visually by skilled cardiologist. Narrowing greater than 50% of the arterial lumen considered as arterial stenosis. Data was analyzed by SPSS version 19, and by chi-square test and logistic regression model. Results: In overall 274 patients with mean age of 60.75 ± 10.92 years 108 (39.4%) were male and 166 (60.61%) were female. The prevalence of ARAS calculated 18.2%. According to the present study, heart failure and smoking were predictors of ARAS. However, old age, gender, diabetes mellitus, hyperlipidemia and family history of cardiovascular disease were not clinical predictors of significant ARAS in hypertensive patients, candidate for coronary angiography. Conclusion: According to present data, we suggest to consider renal artery angiography in combination with coronary artery angiography especially in hypertensive patients who are smoker or individuals who have heart failure. |
| Databáze: | OpenAIRE |
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