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October 9, 1967JAMA

Renin in the diagnosis of renovascular hypertension. Activity in renal and peripheral vein plasma

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Key result

Differential renal vein renin assays identified significantly greater renin activity in the involved kidney in 10 of 17 patients with unilateral renal artery stenosis.

Why the study?

Does differential renal vein renin assay have diagnostic value in determining the functional significance of unilateral renovascular disease in hypertensive patients?

Population

47 hypertensive patients, including 25 without renal artery stenosis, 17 with angiographic evidence of…

Comparison

Renin activity assay in plasma from right and… vs Comparison of renin activity between the…

Design

Cross-sectional

Authors

BWB. M. Winer

Discussion

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Implication

Supports differential renal vein renin assays for assessing functional significance in unilateral renovascular hypertension; leaves open need for prospective validation.

Study Design

Type

Observational (n=47)

Structured PICO

Does differential renal vein renin assay have diagnostic value in determining the functional significance of unilateral renovascular disease in hypertensive patients?

P
Population
47 hypertensive patients evaluated for renin activity in renal and peripheral veins.
E
Exposure
Renin activity assay in plasma from right and left renal veins and a peripheral vein.
C
Comparator
Comparison of renin activity between the involved kidney, uninvolved kidney, and peripheral veins.
O
Outcome
Renin activity levels in renal and peripheral veins and correlation with surgical outcomes.surrogate

Differential renal vein renin assays are valuable for diagnosing the functional significance of apparent unilateral renovascular disease.

Cite This Study

B. M. Winer (1967) conducted an observational in Hypertension (n=47). Differential renal vein renin assays vs. Patients without renal artery stenosis was evaluated on Renin activity in the vein of the involved kidney versus the uninvolved kidney. Differential renal vein renin assays identified significantly greater renin activity in the involved kidney in 10 of 17 patients with unilateral renal artery stenosis.

synapsesocial.com/papers/6a9e4e5e5ba704ce3f944451https://doi.org/10.1001/jama.202.2.121
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Renin in the Diagnosis of Renovascular Hypertension1967 · 70 citations
  2. 2Prognostic Value of Plasma Renin Activity in Renovascular Hypertension1967 · 45 citations
  3. 3Predictive value of renin determinations in renal artery stenosis1977 · 9 citations
  4. 4Predictive Value of Renin Determinations in Renal Artery Stenosis1977 · 44 citations
  5. 5Measurement of Renin in Both Renal Veins1967 · 80 citations