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- Title
Renal Artery Stenosis Emerged After Angiotensin-Converting Enzyme Inhibitor Treatment for Myocardial Infarction.
- Authors
Takahashi, Fumihiko; Hasebe, Naoyuki; Ogawa, Yuji; Tsuji, Shiro; Kido, Shinsuke; Aburano, Tamio; Kikuchi, Kenjiro
- Abstract
A 76-year-old woman with acute myocardial infarction underwent percutaneous coronary angioplasty followed by treatment with an angiotensin-converting enzyme (ACE) inhibitor, lisinopril. Her renal function deteriorated after the administration of lisinopril, so it was changed to another ACE inhibitor, temocapril. Renography suggested a complication of severe right renal artery stenosis, and renal angiography revealed bilateral renal artery stenoses. Her renal hemodynamics were assessed by 99mTc-Mercaptoacetyitriglycine (99mTc-MAG3)-renography before and after withdrawal of temocaprii. The authors concluded the patient had essential hypertension complicated by atherosclerotic renovascular disease. In the treatment of elderly patients with heart disease, hypertension, or both, with ACE inhibitor, the possibility of coexisting renal artery stenosis should be considered. Renography is recommended as a reliable tool for detecting renal artery stenosis.
- Subjects
CORONARY artery stenosis; RENAL artery; ANGIOTENSINS; ENZYMES; MYOCARDIAL infarction; CORONARY disease; HYPERTENSION; KIDNEY function tests
- Publication
Angiology, 2005, Vol 56, Issue 3, p347
- ISSN
0003-3197
- Publication type
Article
- DOI
10.1177/000331970505600318