[Angiotensin-converting enzyme inhibitor renography. Physiopathological, diagnostic and therapeutic aspects in renal artery stenosis].
Angiotensin converting enzyme inhibitor renography (ACE-I-renography) can be used partly to screen for renovascular hypertension and partly to evaluate the possibility for successful revascularization. In patients with an important renal artery stenosis with a high intrarenal activity of the renin-angiotensin-system ACE-inhibition results in a change in renal haemodynamics which can be detected by renography. ACE-I-renography has a high positive and negative predictive value in diagnosing renal artery stenosis. Significant alterations in the renogram induced by ACE-inhibition in renal artery stenosis seem to have a good predictive value with regard to the effect of correction of the stenosis. ACE-I-renography is recommended in patients with arterial hypertension and a moderate or high probability for renovascular hypertension based on clinical criteria.
Pedersen
E B
EB
Medicinsk-nefrologisk afdeling C, Skejby Sygehus, Arhus.
D000806:Angiotensin-Converting Enzyme Inhibitors; D006801:Humans; D006978:Hypertension, Renovascular / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000628:therapy; D011866:Radioisotope Renography / Q000379:methods*; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000628:therapy
D000806:Angiotensin-Converting Enzyme Inhibitors
Angiotensinkonverterende enzym inhibitor renografi. Patofysiologiske, diagnostiske og terapeutiske aspekter ved nyrearteriestenose.