A profile of renal/renovascular abnormalities in patients of hypertension.
After a thorough dinical examination and laboratory investigations, ultrasonography (USG) followed by minute sequence urography (MSU) and aortography and/or selective renal angiography were done in 108 patients, clinically suspected of having renal hypertension of which 32 patients (29.6%) were found to be positive for renal/renovascular disease. Out of 82 patients, who were only young hypertensives, a definite diagnosis of renal/renovascular disease could be made in only 15 cases (18.3%), whereas the pick up rate increased to 65.4% in the rest of the 26 patients who had some other clinical criteria besides hypertension and it further increased up to 92.3% (out of these 26 patients) who had 2 or more than 2 clinical criteria of selection of patients besides hypertension. USG was useful in diagnosing renal parenchymal disease/ suggesting renal abnormalities in 30 cases and MSU was able to detect renal changes in 31 patients. Aortography and/or selective renal angiography could make a definite diagnosis of renovascular disease in 17 cases and renal agenesis in one case.
Yadav
Rohtas K
RK
Department of Radiology, Pt BD Sharma Postgraduate Institute of Medical Sciences, Rohtak.
Siwach
S B
SB
Sharma
Anita
A
Yadav
S P
SP
Aggarwal
H K
HK
Sharma
Nalin
N
D000328:Adult; D000367:Age Factors; D000792:Angiography; D001774:Blood Chemical Analysis; D015331:Cohort Studies; D015897:Comorbidity; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000453:epidemiology*; D006977:Hypertension, Renal / Q000175:diagnosis / Q000453:epidemiology; D006978:Hypertension, Renovascular / Q000175:diagnosis / Q000453:epidemiology; D007194:India / Q000453:epidemiology; D007674:Kidney Diseases / Q000175:diagnosis* / Q000453:epidemiology*; D008297:Male; D015995:Prevalence; D011446:Prospective Studies; D018570:Risk Assessment; D012737:Sex Factors; D014564:Urogenital Abnormalities / Q000175:diagnosis* / Q000453:epidemiology*; D014567:Urography