Renal-Artery Stenosis.

被引:104
|
作者
Dworkin, Lance D. [1 ]
Cooper, Christopher J. [2 ]
机构
[1] Brown Univ, Dept Med, Warren Alpert Sch, Providence, RI 02912 USA
[2] Univ Toledo, Div Cardiol, Toledo, OH 43606 USA
来源
NEW ENGLAND JOURNAL OF MEDICINE | 2009年 / 361卷 / 20期
基金
美国国家卫生研究院;
关键词
ATHEROSCLEROTIC RENOVASCULAR DISEASE; NEPHROGENIC SYSTEMIC FIBROSIS; BALLOON ANGIOPLASTY; STENT PLACEMENT; BLOOD-PRESSURE; MYOCARDIAL-INFARCTION; MORPHOLOGIC EVIDENCE; VASCULAR-DISEASE; RANDOMIZED-TRIAL; NATURAL-HISTORY;
D O I
10.1056/NEJMcp0809200
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 73-year-old former smoker with a history of hypertension presents with shortness of breath. His blood pressure is 160/75 mm Hg, and his serum creatinine level is 1.4 mg per deciliter. Chest auscultation reveals diffuse rales. His condition improves with diuretics. Imaging shows a diseased aorta and a high-grade ostial lesion of the left renal artery. How should he be further evaluated and treated? Copyright © 2009 Massachusetts Medical Society.
引用
收藏
页码:1972 / 1978
页数:7
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