Modern Drug Therapy

作者: J. Webster

DOI: 10.1007/978-94-009-1277-9_1

关键词: Renal arteryLesionInternal medicineRenal artery stenosisKidneyDiabetic nephropathyVascular diseaseMedicineRenal functionCardiologyEssential hypertension

摘要: Renal hypertension is not easy to define. Many forms of acute and chronic renal parenchymal vascular disease may be associated with hypertension. Causation more difficult prove. ‘Essential’ affect at least 20% the adult population in Western societies as a result will frequently coexist other diseases. Furthermore, sustained hypertension, whatever cause, results impaired function. In strictest sense, causation only proved if disorder can shown precede development resolves after removal offending kidney or resolution disorder. This seldom possible. Hypertension persist even primary cause (for example, artery stenosis) irreversible damage contralateral structural changes resistance vessels. Even mild uncomplicated essential there evidence suggest that ‘lesion’ lies kidney1. There clearly wide spectrum clinical conditions which perfusion, function systemic blood pressure are closely interrelated.

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