Severe renal failure during treatment with angiotensin-converting enzyme inhibitors
Three case histories are described which highlight some of the predisposing risk factors and therapeutic strategies in the event of acute severe renal failure during treatment with ACEI. With appropriate therapy, renal function is usually restored within a few days. Renal artery stenosis, dehydration and diuretics stimulate the renin angiotensin system and make preservation of normal renal function, increasingly dependent on angiotensin II. The prevalence of renal artery stenosis is substantially increased in patients with peripheral vascular disease or with coronary artery disease with concomitant hypertension. Patients should be told about the increased risk of adverse effects to the kidneys if they become dehydrated. In these cases it is essential to reduce the dose diuretics and ACEI, and it may be necessary to give parenteral fluid substitution.
| Errataetall: |
CommentIn: Tidsskr Nor Laegeforen. 1992 Mar 30;112(9):1205. - PMID 1579948 |
|---|---|
| Medienart: |
Artikel |
| Erscheinungsjahr: |
1992 |
|---|---|
| Erschienen: |
1992 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:112 |
|---|---|
| Enthalten in: |
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke - 112(1992), 4 vom: 10. Feb., Seite 463-5 |
| Sprache: |
Norwegisch |
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| Weiterer Titel: |
Alvorlig nyresvikt ved behandling med angiotensinkonvertasehemmere |
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| Beteiligte Personen: |
Svarstad, E [VerfasserIn] |
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| Themen: |
Angiotensin-Converting Enzyme Inhibitors |
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| Anmerkungen: |
Date Completed 30.04.1992 Date Revised 18.11.2010 published: Print CommentIn: Tidsskr Nor Laegeforen. 1992 Mar 30;112(9):1205. - PMID 1579948 Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM01535184X |
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| 245 | 1 | 0 | |a Severe renal failure during treatment with angiotensin-converting enzyme inhibitors |
| 246 | 3 | 3 | |a Alvorlig nyresvikt ved behandling med angiotensinkonvertasehemmere |
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| 500 | |a Date Completed 30.04.1992 | ||
| 500 | |a Date Revised 18.11.2010 | ||
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| 500 | |a CommentIn: Tidsskr Nor Laegeforen. 1992 Mar 30;112(9):1205. - PMID 1579948 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Three case histories are described which highlight some of the predisposing risk factors and therapeutic strategies in the event of acute severe renal failure during treatment with ACEI. With appropriate therapy, renal function is usually restored within a few days. Renal artery stenosis, dehydration and diuretics stimulate the renin angiotensin system and make preservation of normal renal function, increasingly dependent on angiotensin II. The prevalence of renal artery stenosis is substantially increased in patients with peripheral vascular disease or with coronary artery disease with concomitant hypertension. Patients should be told about the increased risk of adverse effects to the kidneys if they become dehydrated. In these cases it is essential to reduce the dose diuretics and ACEI, and it may be necessary to give parenteral fluid substitution | ||
| 650 | 4 | |a Case Reports | |
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| 700 | 1 | |a Iversen, B M |e verfasserin |4 aut | |
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