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After the renal artery atherosclerotic stenosis ZhiJiaShu renal function improved one
Author(s): Gao Xiu-zhen
Pages: 730-
732
Year: 2013
Issue:
10
Journal: New Medicine
Keyword: Atherosclerosis; Renal artery stenosis; Intracoronary stenting; Kidney function;
Abstract: Renal artery stenosis is mainly caused by renal artery atherosclerosis , muscular fiber dys-plasia and artery inflammation.The former one is common in the elders , and the latter two common in young adults.Clinical presentetaion is manifested by rapidly elevated blood pressure , progressive renal function de-clinaion , arising a misdiagnosis of hypertensive nephropathy should the patient have a history of primary hyper -tension We reported one patient of atherosclerotic renal artery stenosis who had history of primary hypertension for 10 years, and was on candesartan , oral Gao Ning with stable blood pressureIn the recent 3 months, his blood pressure fluctuated in 180-210/100-120 mm Hg, accompanied by headacheand dizziness.A diagnosis of right renal artery stenosis was proved by renal artery angiography.After treatment of renal artery stent implanta-tion, oral medication of candesartan , Enteric aspirin, clopidogrel, Isosorbide dinitrate and Amlodipine , his re-nal function and blood pressure returned normal.The case suggested that when the blood pressure in elderly hy-pertensive patients rapidly elevated , with progressive loss of renal function , atherosclerotic renal artery steno-sishould be taken into aconsiderations.
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