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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1991-6-12
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pubmed:abstractText |
A captopril challenge test (CCT) for renovascular disease in adults was described recently. We used it in 20 consecutive, untreated hypertensive children and adolescents. All had a normal urinalysis and glomerular filtration rate and non-diagnostic renal sonograms or intravenous urograms. Plasma renin activity (PRA) was measured before and 1 h after administration of captopril (0.76 +/- 0.17 mg/kg). The CCT was positive in 10 patients. Renal arteriograms were performed in 7 patients with a positive CCT and in 2 with a negative CCT. Renovascular disease was found in 4 patients, 1 of whom had a negative CCT. The PRA response to captopril was the same in patients with true- and the false-positive tests. The predictive value of the positive test was 43%. In conclusion, we did not find the CCT, as described for adults, to be of value in children and adolescents.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0931-041X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
5
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
42-4
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2025535-Adolescent,
pubmed-meshheading:2025535-Adult,
pubmed-meshheading:2025535-Captopril,
pubmed-meshheading:2025535-Child,
pubmed-meshheading:2025535-Female,
pubmed-meshheading:2025535-Humans,
pubmed-meshheading:2025535-Hypertension, Renovascular,
pubmed-meshheading:2025535-Male,
pubmed-meshheading:2025535-Renin
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pubmed:year |
1991
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pubmed:articleTitle |
Inadequacy of captopril challenge test for diagnosing renovascular hypertension in children and adolescents.
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pubmed:affiliation |
Schneider Children's Hospital of Long Island Jewish Medical Center, Long Island Campus of Albert Einstein College of Medicine, New Hyde Park, NY 11042.
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pubmed:publicationType |
Journal Article
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