4.5 Article

Ultrasound Doppler renal resistive index: a useful tool for the management of the hypertensive patient

期刊

JOURNAL OF HYPERTENSION
卷 32, 期 1, 页码 149-153

出版社

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/HJH.0b013e328365b29c

关键词

cardiovascular risk; hypertension; renal resistive index

资金

  1. Italian Ministero della Salute (Bando Giovane Ricercatore) [CUP G35J11000130001]

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The Doppler-derived renal resistive index has been used for years in a variety of clinical settings such as the assessment of chronic renal allograft rejection, detection and management of renal artery stenosis, evaluation of progression risk in chronic kidney disease, differential diagnosis in acute and chronic obstructive renal disease, and more recently as a predictor of renal and global outcome in the critically ill patient. More recently, evidence has been accumulating showing that an increased renal resistive index not only reflects changes in intrarenal perfusion but is also related to systemic hemodynamics and the presence of subclinical atherosclerosis, and may thus provide useful prognostic information in patients with primary hypertension. On the basis of these results, the evaluation of renal resistive index has been proposed in the assessment and management of patients with primary hypertension to complement other signs of renal abnormalities.

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