TY - JOUR
T1 - Ultrasound Doppler renal resistive index
T2 - A useful tool for the management of the hypertensive patient
AU - Viazzi, Francesca
AU - Leoncini, Giovanna
AU - Derchi, Lorenzo E.
AU - Pontremoli, Roberto
PY - 2014/1
Y1 - 2014/1
N2 - 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.
AB - 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.
KW - Cardiovascular risk
KW - Hypertension
KW - Renal resistive index
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U2 - 10.1097/HJH.0b013e328365b29c
DO - 10.1097/HJH.0b013e328365b29c
M3 - Article
C2 - 24172238
AN - SCOPUS:84891559361
VL - 32
SP - 149
EP - 153
JO - Journal of Hypertension
JF - Journal of Hypertension
SN - 0263-6352
IS - 1
ER -