Captopril-stimulated renin in the diagnosis of restenosis after percutaneous transluminal renal angioplasty.

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概要

• 論文の詳細を見る

• Recurrence of hypertension is reported in a considerable percentage of renovascular hypertensive patients treated by percutaneous transluminal angioplasty (PTRA); among the possible mechanisms for these failures, restenosis of the renal artery is the only correctable one. Since captopril stimulates renin secretion to a greater extent in renovascular than in essential hypertensive patients, we determined if it could be used to unmask significant restenosis in the patients with hypertension recurring after PTRA.Follow-up study was performed in 28 patients treated with PTRA. We found that captopril caused a greater increase in peripheral plasma renin activity in 8 of 8 cases who had recurrence of hypertension and restenosis than in 13 of 15 of the patients who did not. We suggest that the determination of captopril-stimulated renin may provide a useful, simple and economical tool for the detection of restenosis after PTRA.

• International Heart Journal刊行会の論文

著者

• PESSINA Achille

  First Medical Clinic, University of Padova

• ROSSI Gian

  First Medical Clinic, University of Padova

• SEMPLICINI Andrea

  First Medical Clinic, University of Padova

• FELTRIN Gian

  Department of Radiology, University of Padova

• MOZZATO Maria

  First Medical Clinic, University of Padova

• DISSEGNA Laura

  First Medical Clinic, University of Padova

関連論文

• Captopril-stimulated renin in the diagnosis of restenosis after percutaneous transluminal renal angioplasty.

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