Prevalence and Risk Factors of Renal Artery Stenosis in Patients with Refractory Hypertension
10.3969/j.issn.1005-5185.2015.07.009
- VernacularTitle:难治性高血压患者肾动脉狭窄的患病率及风险因素分析
- Author:
Ningdong PANG
;
Chunming XIE
;
Minling YANG
;
Duiping FENG
;
Yi CHEN
- Publication Type:Journal Article
- Keywords:
Hypertension;
Renal artery obstruction;
Angiography;
Stents;
Prevalence;
Risk factors;
Peripheral vascular diseases;
Diabetes mellitus;
Coronary disease
- From:
Chinese Journal of Medical Imaging
2015;(7):510-512
- CountryChina
- Language:Chinese
-
Abstract:
PurposeTo investigate the independent risk factors of refractory hypertension for effective screening and treatment.Materials and Methods 142 patients with refractory hypertension underwent renal angiography, morbidity of renal artery stenosis (RAS) and angiography results were analyzed using univariate and multivariate Logistic regression.Results Thirty-eight cases of RAS were identiifed with incidence of 26.8%. Univariate analysis indicated that diabetes, peripheral artery disease and coronary heart disease were the predictor for RAS (P<0.05 orP<0.01). Multivariate regression analysis demonstrated that peripheral artery disease (OR 5.011, 95%CI 2.17-8.93,P<0.001) was independent risk factors for RAS. Diabetes and coronary heart disease were not independent risk factors.Conclusion Peripheral artery disease is independent risk factor for RAS among patients with refractory hypertension, which can serve as a screening index of renal angiography or renal angioplasty and stenting for RAS.
