Renal artery stenosis emerged after angiotensin-converting enzyme inhibitor treatment for myocardial infarction: a case report.
A 76-year-old woman with acute myocardial infarction underwent percutaneous coronary angioplasty followed by treatment with an angiotensin-converting enzyme (ACE) inhibitor, lisinopril. Her renal function deteriorated after the administration of lisinopril, so it was changed to another ACE inhibitor, temocapril. Renography suggested a complication of severe right renal artery stenosis, and renal angiography revealed bilateral renal artery stenoses. Her renal hemodynamics were assessed by (99m)Tc-Mercaptoacetyltriglycine ((99m)Tc-MAG(3))-renography before and after withdrawal of temocapril. The authors concluded the patient had essential hypertension complicated by atherosclerotic renovascular disease. In the treatment of elderly patients with heart disease, hypertension, or both, with ACE inhibitor, the possibility of coexisting renal artery stenosis should be considered. Renography is recommended as a reliable tool for detecting renal artery stenosis.
Takahashi
Fumihiko
F
First Department of Medicine, Asahikawa Medical College, Japan. ft-park@asahikawa-med.ac.jp
Hasebe
Naoyuki
N
Ogawa
Yuji
Y
Tsuji
Shiro
S
Kido
Shinsuke
S
Aburano
Tamio
T
Kikuchi
Kenjiro
K
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000009:adverse effects*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D017706:Lisinopril / Q000009:adverse effects*; D009203:Myocardial Infarction / Q000188:drug therapy* / Q000628:therapy; D011866:Radioisotope Renography; D012078:Renal Artery Obstruction / Q000139:chemically induced* / Q000000981:diagnostic imaging; D013841:Thiazepines / Q000009:adverse effects*
D000806:Angiotensin-Converting Enzyme Inhibitors; D013841:Thiazepines; C055603:temocapril hydrochloride; D017706:Lisinopril