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Clinical characteristics useful in screening for renovascular disease.

Publication ,  Journal Article
Svetkey, LP; Helms, MJ; Dunnick, NR; Klotman, PE
Published in: South Med J
July 1990

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.

Duke Scholars

Published In

South Med J

DOI

ISSN

0038-4348

Publication Date

July 1990

Volume

83

Issue

7

Start / End Page

743 / 747

Location

United States

Related Subject Headings

  • Time Factors
  • Severity of Illness Index
  • Research Design
  • Renal Artery Obstruction
  • Radiography
  • Prospective Studies
  • Middle Aged
  • Male
  • Hypertension, Renovascular
  • Humans
 

Citation

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Svetkey, L. P., Helms, M. J., Dunnick, N. R., & Klotman, P. E. (1990). Clinical characteristics useful in screening for renovascular disease. South Med J, 83(7), 743–747. https://doi.org/10.1097/00007611-199007000-00005
Svetkey, L. P., M. J. Helms, N. R. Dunnick, and P. E. Klotman. “Clinical characteristics useful in screening for renovascular disease.South Med J 83, no. 7 (July 1990): 743–47. https://doi.org/10.1097/00007611-199007000-00005.
Svetkey LP, Helms MJ, Dunnick NR, Klotman PE. Clinical characteristics useful in screening for renovascular disease. South Med J. 1990 Jul;83(7):743–7.
Svetkey, L. P., et al. “Clinical characteristics useful in screening for renovascular disease.South Med J, vol. 83, no. 7, July 1990, pp. 743–47. Pubmed, doi:10.1097/00007611-199007000-00005.
Svetkey LP, Helms MJ, Dunnick NR, Klotman PE. Clinical characteristics useful in screening for renovascular disease. South Med J. 1990 Jul;83(7):743–747.

Published In

South Med J

DOI

ISSN

0038-4348

Publication Date

July 1990

Volume

83

Issue

7

Start / End Page

743 / 747

Location

United States

Related Subject Headings

  • Time Factors
  • Severity of Illness Index
  • Research Design
  • Renal Artery Obstruction
  • Radiography
  • Prospective Studies
  • Middle Aged
  • Male
  • Hypertension, Renovascular
  • Humans