Renal artery stenosis risk factors: Difference between revisions
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==Risk Factors== | ==Risk Factors== | ||
Traditional cardiovascular risk factors are the most important risk factors for the initiation and progression of atherosclerotic renal artery disease (ARAS). Risk factors of ARAS are listed as follows, with varying power<ref name="pmid12466310">{{cite journal| author=Zoccali C, Mallamaci F, Finocchiaro P| title=Atherosclerotic renal artery stenosis: epidemiology, cardiovascular outcomes, and clinical prediction rules. | journal=J Am Soc Nephrol | year= 2002 | volume= 13 Suppl 3 | issue= | pages= S179-83 | pmid=12466310 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12466310 }} </ref><ref name="pmid1610982">{{cite journal| author=Harding MB, Smith LR, Himmelstein SI, Harrison K, Phillips HR, Schwab SJ et al.| title=Renal artery stenosis: prevalence and associated risk factors in patients undergoing routine cardiac catheterization. | journal=J Am Soc Nephrol | year= 1992 | volume= 2 | issue= 11 | pages= 1608-16 | pmid=1610982 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1610982 }} </ref><ref name="pmid9800739">{{cite journal| author=MacDowall P, Kalra PA, O'Donoghue DJ, Waldek S, Mamtora H, Brown K| title=Risk of morbidity from renovascular disease in elderly patients with congestive cardiac failure. | journal=Lancet | year= 1998 | volume= 352 | issue= 9121 | pages= 13-6 | pmid=9800739 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9800739 }} </ref> | Traditional cardiovascular risk factors are the most important risk factors for the initiation and progression of atherosclerotic renal artery disease (ARAS). Risk factors of ARAS are listed as follows, with varying power:<ref name="pmid12466310">{{cite journal| author=Zoccali C, Mallamaci F, Finocchiaro P| title=Atherosclerotic renal artery stenosis: epidemiology, cardiovascular outcomes, and clinical prediction rules. | journal=J Am Soc Nephrol | year= 2002 | volume= 13 Suppl 3 | issue= | pages= S179-83 | pmid=12466310 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12466310 }} </ref><ref name="pmid1610982">{{cite journal| author=Harding MB, Smith LR, Himmelstein SI, Harrison K, Phillips HR, Schwab SJ et al.| title=Renal artery stenosis: prevalence and associated risk factors in patients undergoing routine cardiac catheterization. | journal=J Am Soc Nephrol | year= 1992 | volume= 2 | issue= 11 | pages= 1608-16 | pmid=1610982 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1610982 }} </ref><ref name="pmid9800739">{{cite journal| author=MacDowall P, Kalra PA, O'Donoghue DJ, Waldek S, Mamtora H, Brown K| title=Risk of morbidity from renovascular disease in elderly patients with congestive cardiac failure. | journal=Lancet | year= 1998 | volume= 352 | issue= 9121 | pages= 13-6 | pmid=9800739 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9800739 }} </ref> | ||
*[[Advanced age]] | *[[Advanced age]] | ||
*[[Smoking]] | *[[Smoking]] | ||
| Line 16: | Line 16: | ||
*[[Coronary artery disease]] | *[[Coronary artery disease]] | ||
*[[Peripheral vascular disease]] | *[[Peripheral vascular disease]] | ||
*Aortic and limb occlusive disease | *Aortic and limb occlusive disease | ||
*[[Aortic aneurysm]] | *[[Aortic aneurysm]] | ||
*[[Body mass index]] | *[[Body mass index]] | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Yazan Daaboul, Serge Korjian
Overview
Traditional cardiovascular risk factors are considered the most important risk factors for ARAS. Most important risk factors are advanced age, smoking, hypertension, dyslipidemia, diabetes, and known vascular disease.
Risk Factors
Traditional cardiovascular risk factors are the most important risk factors for the initiation and progression of atherosclerotic renal artery disease (ARAS). Risk factors of ARAS are listed as follows, with varying power:[1][2][3]
- Advanced age
- Smoking
- Hypertension
- Dyslipidemia
- Diabetes mellitus
- Coronary artery disease
- Peripheral vascular disease
- Aortic and limb occlusive disease
- Aortic aneurysm
- Body mass index
- Serum creatinine concentration
It is now clear that the prevalence of ARAS is higher among patients with hypertension, and among those who had prior cardiac catheterization procedures or with known coronary artery disease. The prevalence of ARAS in these patients increases drastically to reach up to 30-50% of all patients.[2][4][5][6]
References
- ↑ Zoccali C, Mallamaci F, Finocchiaro P (2002). "Atherosclerotic renal artery stenosis: epidemiology, cardiovascular outcomes, and clinical prediction rules". J Am Soc Nephrol. 13 Suppl 3: S179–83. PMID 12466310.
- ↑ 2.0 2.1 Harding MB, Smith LR, Himmelstein SI, Harrison K, Phillips HR, Schwab SJ; et al. (1992). "Renal artery stenosis: prevalence and associated risk factors in patients undergoing routine cardiac catheterization". J Am Soc Nephrol. 2 (11): 1608–16. PMID 1610982.
- ↑ MacDowall P, Kalra PA, O'Donoghue DJ, Waldek S, Mamtora H, Brown K (1998). "Risk of morbidity from renovascular disease in elderly patients with congestive cardiac failure". Lancet. 352 (9121): 13–6. PMID 9800739.
- ↑ Buller CE, Nogareda JG, Ramanathan K, Ricci DR, Djurdjev O, Tinckam KJ; et al. (2004). "The profile of cardiac patients with renal artery stenosis". J Am Coll Cardiol. 43 (9): 1606–13. doi:10.1016/j.jacc.2003.11.050. PMID 15120819.
- ↑ Miralles M, Corominas A, Cotillas J, Castro F, Clara A, Vidal-Barraquer F (1998). "Screening for carotid and renal artery stenoses in patients with aortoiliac disease". Ann Vasc Surg. 12 (1): 17–22. PMID 9451991.
- ↑ Swartbol P, Pärsson H, Thorvinger B, Norgren L (1994). "To what extent does peripheral vascular disease and hypertension predict renal artery stenosis?". Int Angiol. 13 (2): 109–14. PMID 7963868.