Renal Hypertension Without Main Arterial Stenosis
- 11 March 1968
- journal article
- research article
- Published by American Medical Association (AMA)
- Vol. 203 (11) , 932-936
- https://doi.org/10.1001/jama.1968.03140110024006
Abstract
Hypertensive patients who had a small kidney unilaterally underwent renal function tests. Patients who did not have arteriographic evidence of renal arterial stenosis were subjected to nephrectomy when they had nonfunctioning or functionally ischemic kidneys. The test correctly predicted whether a cure would occur in three of three patients with pyelonephritis and in 14 of 15 with ischemic hypoplastic kidneys. Nephrectomy cured hypertension in seven of nine patients with nonfunction. A comparison of these results with the results in 50 patients with renal arterial stenosis indicates that the predictive value of renal funcion tests was greatest in hypertensive patients who had small kidneys without renal arterial stenosis.Keywords
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