Should renal color Doppler ultrasonography be a routine test in newly diagnosed hypertensive patient?
J Hypertens. 2017 Aug 16;:
Authors: Tsioufis C, Andrikou I, Pruijm M, Ponte B, Sarafidis P, Koureas A, Tousoulis D, Agabiti-Rosei E, Mancia G, Burnier M
Abstract
: European Society of Hypertension/European Society of Cardiology guidelines recommend calculation of estimated glomerular filtration rate and evaluation of urinary albumin excretion rate as routine tests in the initial evaluation and during the follow-up of all hypertensive patients. However, from a clinical point of view, renal ultrasound - a noninvasive, readily available and cheap imaging modality - could contribute to the better evaluation of a hypertensive patient by identifying common causes of secondary hypertension (HTN) originating from the kidney and more recently by detecting renal injury in severe or long-standing essential HTN by measuring renal resistive indexes. The purpose of this review is to summarize the actual evidence which could support a larger use of renal ultrasound in the work-up of patients with newly diagnosed HTN.
PMID: 28817492 [PubMed - as supplied by publisher]