KAPTOPRİL RENOGRAFİ VE RENALVEN RENİN ÖRNEKLEMESİNİN RENOVASKÜLER HİPERTANSİYONU GÖSTERMESİNE RAĞMEN RENALARTER ANJİYOGRAFİSİ NORMAL BULUNAN BİR HİPERRENİNEMİK HİPERTANSİYON OLGUSU

Year 2007, Volume: 70 Issue: 3, 78 - 81, 14.11.2011

Alaattin Yıldız Meral Mert Ayşe Kubat Üzüm Neşe Özbey Ferihan Aral Nilüfer Alpay At All.

Abstract

Hiperreninemik hipertansiyon, yüksek reninli esansiyel hipertansiyon ile benzer bir biyokimyasal profil gösterirse de, sekonder hipertansiyona yol açan bir grup hastalığı ifade eder. Bu yazıda anormal kaptopril renografi ve anormal renal ven renin örneklemesine rağmen renal arter angiografisi normal bulunan hiperreninemik hipertansiyonlu bir olgu sunuldu. Ayırıcı tanıda bu testleri değerlendirmedeki güçlükler tartışıldı.

Keywords

Hiperreninemik hipertansiyon, kaptopril renografi, renal ven renin örneklemesi

References

• Esayag Tendler B, Yamase H, Ramsby G, White W.B. Accelera- ted hypertension with encephalopathy due to an isolated dissec- tion of renal artery branch vessel Am J Kidney Dis 1994; 23:869-873.
• Fine EJ Interventions in renal scintrenography. Semin Nucl Med 1999; 29:128.
• Jensen JJ, Moller ML, Lund JO, Trap-Jensen J. Captopril renog- raphy in the diagnosis of renovascular hypertension. Ugeskr La- eger. 1991; 3:1648-1651.
• Klassen PS, Svetkey LP. Diagnosis and management of reno- vaskular hypertension. Cardiol rev. 2000; 8:17.
• Ludwig V, Martin WH, Delbeke D. Calsium Channel blockers; A potential cause of false positive captopril renography; Clin Nucl Medicine 2003; 28:2 pp 108-112.
• Masami Tanaka, Koichi Matsuo, Hiroyuki Shoda, Shigeto Taka- mi. Severe hyperreninemic hypertension associated with sponta- neous renal cholesterol crystal embolization; Clin Exp Nephrol 2004; 8:150-154.
• Mazo EB, Akopian AS, Anakhasian RV, KOriakin MV, Andri- anov VN. The X-ray endovaskular treatment of renin-dependent arterial hypertension with secondary adosteronism in patients without vasorenal invovement Urol Nefrol (Mosk) 1991; 3:33- 41.
• Pintar TJ, Zimmerman S. Hyperreninemic hpertension se- condary to a subcapsular perinephric hemetoma in patient with polyarteritis nodosa Am J Kidney Dis 1998; 32:503- 507.
• Shome B, Nadeau J, Blevins LS. Jr. Hypertension in adolescent boy; Am J Med Sci 2002; 323:227-230.
• Takata M, Yoshida K, Tomoda F, Oh-hashi S, Ueno H, Yasumo- to K, Iida H, Sasayama S. Diagnostic value of captopril test in hypertensive patients with renal artery stenosis Giology 1994; 45:181-186.
• Yung BCK, Wong KW, Fan WC, Chan JCS, Lo SS. Negative captopril renography on patients with renin mediated hyperten- sion due to page kidney and reninoma. Eur J Radiol 1999; 31: 63-68.