Clinical characteristics useful in screening for renovascular disease.


Journal Article

In an effort to detect renovascular hypertension, clinical characteristics are used to select patients likely to have renal artery stenosis. We prospectively evaluated the ability of commonly used clinical features to predict the presence of renal artery stenosis in 100 hypertensive adults. All subjects had conventional renal arteriography. Renal artery stenosis was diagnosed if there was 50% or more stenosis of a main renal artery. Eighteen of the 100 had renal artery stenosis. The presence of a bruit was strongly associated with renal artery stenosis (P less than .0005). In patients without a bruit, only refractory hypertension was associated with the presence of renal artery stenosis (P = .051). These data suggest that a bruit and refractory hypertension are associated with renal artery stenosis, but that other clinical features investigated may not be and that other means of screening for renovascular disease are needed.

Full Text

Duke Authors

Cited Authors

  • Svetkey, LP; Helms, MJ; Dunnick, NR; Klotman, PE

Published Date

  • July 1, 1990

Published In

Volume / Issue

  • 83 / 7

Start / End Page

  • 743 - 747

PubMed ID

  • 2371594

Pubmed Central ID

  • 2371594

International Standard Serial Number (ISSN)

  • 0038-4348

Digital Object Identifier (DOI)

  • 10.1097/00007611-199007000-00005


  • eng

Conference Location

  • United States