Source:http://linkedlifedata.com/resource/pubmed/id/10922979
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
2000-9-20
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pubmed:abstractText |
Renal artery stenosis (RAS) was searched for in a Type 2 diabetes population (n =208) with severe hypertension (SHT) and/or renal deficiency (RD) and/or severe macroangiopathy (MA), using arteriography and/or duplex colour scan (with confirmation by arteriography or magnetic resonance angiography). Thirty-four (16.3 %) cases had significant RAS >=70% (83% unilateral, 17% bilateral; 11.7% with total thrombosis). High significance (P<0.01) (34 RAS vs 174 subjects without RAS) was found for male predominance (sex ratio 0.8), smoking (47%), insulin requirement (65%), prevalence and severity of decreased renal function (65%), severe hypertension (53%), and prevalence of macroangiopathy (82%), especially in association with coronary heart disease (65%). RAS prevalence was low in subjects with only 1 (8%) diagnostic criterion and high when 2 (21%) or 3 (41%) signs were present, regardless of the criterion (HT/RD/MA). A high increase of RAS prevalence was found in males, smokers and patients with heart disease or macroalbuminuria when 2 or 3 diagnostic criteria were present (no increased prevalence for only 1 criterion). RAS screening should be performed in a Type 2 diabetic population with HT, RD, or MA by opacification of the renal arteries at the same time as arteriography for control of another vessel, or by duplex colour scan when 2 or 3 diagnostic criteria are present. This attitude allows a diagnostic score of 85 % of RAS in this Type 2 diabetic population.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
1262-3636
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
26 Suppl 4
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
90-6
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:10922979-Aged,
pubmed-meshheading:10922979-Diabetes Mellitus, Type 2,
pubmed-meshheading:10922979-Diabetic Angiopathies,
pubmed-meshheading:10922979-Diabetic Nephropathies,
pubmed-meshheading:10922979-Female,
pubmed-meshheading:10922979-France,
pubmed-meshheading:10922979-Humans,
pubmed-meshheading:10922979-Hypertension,
pubmed-meshheading:10922979-Male,
pubmed-meshheading:10922979-Prevalence,
pubmed-meshheading:10922979-Renal Artery Obstruction,
pubmed-meshheading:10922979-Risk Factors
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pubmed:year |
2000
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pubmed:articleTitle |
Prevalence of renal artery stenosis in type 2 diabetes.
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pubmed:affiliation |
Diabetology and Vascular Disease Unit, General Hospital, Narbonne, France.
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pubmed:publicationType |
Journal Article
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