Ultrasound Doppler renal resistive index: A useful tool for the management of the hypertensive patient

Francesca Viazzi, Giovanna Leoncini, Lorenzo E. Derchi, Roberto Pontremoli

Research output: Contribution to journalArticlepeer-review

Abstract

The Doppler-derived renal resistive index has been used for years in a variety of clinical settings such as the assessment of chronic renal allograft rejection, detection and management of renal artery stenosis, evaluation of progression risk in chronic kidney disease, differential diagnosis in acute and chronic obstructive renal disease, and more recently as a predictor of renal and global outcome in the critically ill patient. More recently, evidence has been accumulating showing that an increased renal resistive index not only reflects changes in intrarenal perfusion but is also related to systemic hemodynamics and the presence of subclinical atherosclerosis, and may thus provide useful prognostic information in patients with primary hypertension. On the basis of these results, the evaluation of renal resistive index has been proposed in the assessment and management of patients with primary hypertension to complement other signs of renal abnormalities.

Original languageEnglish
Pages (from-to)149-153
Number of pages5
JournalJournal of Hypertension
Volume32
Issue number1
DOIs
Publication statusPublished - Jan 2014

Keywords

  • Cardiovascular risk
  • Hypertension
  • Renal resistive index

ASJC Scopus subject areas

  • Internal Medicine
  • Physiology
  • Cardiology and Cardiovascular Medicine

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