title: Research of multiarterial atherosclerotic disease in hypertensive patients with renal artery stenosis.
abstract: BACKGROUND
  The detection of the renal artery stenosis in hypertensive patients can be a signal of systemic arterial atherosclerosis.
  
  
  OBJECTIVE
  To identify and characterize clinical-epidemiologically the hypertensive patients with renal artery stenosis, evaluating factors of cardiovascular risk and presence of symptomatic multiarterial atherosclerotic.
  
  
  METHODS
  Were selected the hypertensive patients who were assisted at the Nephrological Clinic of Universidade Federal do Triângulo Mineiro (UFTM) between 2000-2010, with diagnosis of renal artery stenosis of atherosclerotic etiology. Epidemiological data were evaluated (gender, age, ethnicity), factors of cardiovascular risk (diabetes, hypercholesterolemia, hypertriglyceridemia, tabagism, metabolic syndrome), information on hypertension (time of diagnosis, family report, number of used medicines), previous cardiovascular events (acute myocardial infarctation, ischemic stroke, peripheral arterial disease). Blood pressure levels, global cardiovascular risk and Score Framingham were stratified.
  
  
  RESULTS
  Casuistry of 30 patients, feminine majority (73.3%), average of 66 year-old age, 86.67% white, medium time of hypertension of 19.94 years, 89.92 without family report, 13.8 with diabetes, 65.51% smoking, 17.25% hypertriglyredemia, 62.06% with hypercholesterolemia and 66.7% with metabolic syndrome. Average number of medicines in use: 3.26. Dominant right-sided renal artery stenosis separately (46.7%) and in proximal third (56.7%). High creatinine levels in 40% of the patients. As for the hypertension phase, majority phase 2 (47%) and 73.3% with high global cardiovascular risk. Average Framingham Score of 13%. 66.7% presented atherosclerotic disease in another place, being infarctation the main one (53.3%).
  
  
  CONCLUSIONS
  The most common correlation was with acute myocardial infarctation, what implicates in the search of the coronary compromising to the diagnosis of renal artery stenosis in hypertensive patients to try avoid future damages to the patient.
authors.forename: Precil Diego Miranda de Menezes
authors.initials: PD
authors.lastname: Neves
authors.forename: Arthur Alberto de Oliveira E
authors.initials: AA
authors.lastname: Oliveira
authors.forename: Marcela Cristina de Oliveira E
authors.initials: MC
authors.lastname: Oliveira
authors.forename: Juliana Reis
authors.initials: JR
authors.lastname: Machado
authors.forename: Marlene Antônia Dos
authors.initials: MA
authors.lastname: Reis
authors.forename: Helena Moisés
authors.initials: HM
authors.lastname: Mendonça
authors.forename: Luiz Antônio Pertili Rodrigues de
authors.initials: LA
authors.lastname: Resende
authors.forename: Vilmar de Paiva
authors.initials: Vde P
authors.lastname: Marques
mesh_terms: D000368:Aged; D050197:Atherosclerosis / Q000209:etiology*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications*; D008297:Male; D012078:Renal Artery Obstruction / Q000150:complications*; D012307:Risk Factors