Prevalence of Renal Artery Stenosis in Patients Undergoing Routine Coronary Angiography

This retrospective observational study aimed to see the angiographic association of at Renal-Artery Stenosis (RAS) with Coronary Artery Disease(CAD) in Bangladeshi population. It was conducted in the department of cardiology, Khwaja Yunus Ali Medical College and Hospital (KYAMCH), Enayetpur, Sirajgonj, Bangladesh, from January 2007 to January 2009.A total 281 patients with Ischaemic heart disease, on non emergent coronary angiogram who underwent either selective or non selective renal angiography were enrolled in this study. Among 281 patients, male patients was 241(85.76%), female was 40(14.23%) and age group was 30-75 years. Among those patients 228(81%) patients had Coronary artery disease, 53(18.86%) patients had normal coronary artery. Among CAD, 51(18.14%) patients had single vessel disease (SVD),39(13.87%) patients had double vessel disease (DVD),124(44.12%) patients had triple vessel disease(TVD) and 14(4.9%) patients had minimal coronary artery disease. RAS was detected 23(8.18%) patients and RAS with HTN was 18(78%) patients and ARAS without HTN was 5(21.73%) patients. RAS tends to increase with age. In age group 30-45 years, RAS was 17.39% and age group 50-75 it was 82.60%.The incidence of was high in50.09±8.76 years. Incidence of RAS was more common in male patients (73.91% vs. 26.08%).DOI: http://dx.doi.org/10.3329/kyamcj.v2i1.13513 KYAMC Journal Vol.2(1) 2011 pp.109-113

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Study of angiographic association of atherosclerotic renal artery stenosis with coronary artery disease in Bangladesh

University Heart Journal ◽

10.3329/uhj.v4i2.2069 ◽

2009 ◽

Vol 4 (2) ◽

pp. 24-27

Author(s):

Md Sirajul Islam ◽

Manzoor Mahmood ◽

KMHS Sirajul Haque ◽

Md Abu Siddique ◽

Sajal Krishna Banerjee ◽

...

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Renal Artery ◽

Renal Artery Stenosis ◽

Artery Stenosis ◽

Age Group ◽

Atherosclerotic Renal Artery Stenosis ◽

Vessel Disease ◽

Triple Vessel Disease ◽

Artery Disease

This retrospective observational study aimed to see the angiographic association of atherosclerotic renal-artery stenosis (ARAS) with coronary artery disease in Bangladesh. It was conducted in department of cardiology, University Cardiac Centre, Bangabandhu Sheikh Mujib Medical University, Dhaka from January 2007 to January 2008. A total of 250 patients with coronary artery involvement, on non-emergent coronary angiogram who underwent either selective or nonselective renal angiography were enrolled in this study. Among 250 patients, 52 (20.8%) patient had single vessel disease (SVD), 49 (19.6%) and 149 (59.6%) had double vessel disease (DVD) and triple vessel disease (TVD) respectively. ARAS was detected in 37.2% or 93 patients. ARAS tends to increase with age. In age group of 30-40, ARAS is 7.4% whereas in age group of 51-60 years it is 41%. The incidence of ARAS is high in 50.25Â±9.98years; p=0.0001. 33.3% male patients with CAD had ARAS whereas it was 44.3% in female patients with CAD. ARAS is more common in female 44.3% vs 33.3%; p=0.02. ARAS prevalence increased with the number of stenosed coronary arteries (3.8% in 1-vessel, 26.5% in 2-vessel, 52.3%in 3-vessel CAD; p=.0001.). Hypertension and angiographically proven CAD were independent predictors of ARAS (p=0.0001). In conclusion, ARAS prevalence and severity increases with the number of arterial territories involved and CAD severity. Hypertension and 2-3-vessel-CAD were identified independent predictors of ARAS. Â doi:10.3329/uhj.v4i2.2069 University Heart Journal Vol. 4 No. 2 July 2008 p24-27

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Association of Atherosclerotic Renal Artery Stenosis with Coronary Artery Disease

Cardiovascular Journal ◽

10.3329/cardio.v7i2.22258 ◽

2015 ◽

Vol 7 (2) ◽

pp. 114-118

Author(s):

Krishna Kanta Sen ◽

Mahboob Ali ◽

Amal Kumar Choudhury ◽

Pradip Kumar Karmakar ◽

Md Khalequzzaman ◽

...

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Renal Artery ◽

Renal Artery Stenosis ◽

Artery Stenosis ◽

Atherosclerotic Renal Artery Stenosis ◽

Vessel Disease ◽

Group I ◽

Group Ii ◽

Artery Disease

Background: The association between extent and severity of coronary artery disease (CAD) and renal artery stenosis (RAS) has been well established in many studies. The aim of this study was to assess the incidence and severity of RAS in patients with CAD. Methods: Coronary angiogram (CAG) and renal angiogram was done in standard protocol. A total of 95 patients was included in the study and divided into two groups according to the presence of significant renal artery stenosis. In Group I 45 patients were having normal or insignificant renal artery stenosis. In Group II 50 patients were having significant renal artery stenosis. All data were recorded systematically in preformed data collection form. Results: In Group I, most common CAG findings were single vessel disease (SVD) (91.1%), triple vessel disease (TVD) (2.2%) and double vessel disease (DVD) (6.7%). No patients in Group I had Left Main (LM) disease. In Group II, most common CAG findings were DVD (42.0%) followed by SVD 32.0%, TVD 26.0% and LM 8.0%. There is statistically significant difference in Vessels Score, Friesinger Score and Leaman Score between the groups (p<0.05). Conclusion: The study revealed significant association between atherosclerotic renal artery stenosis (RAS) and severity of coronary artery disease (CAD). This indicates significant atherosclerotic renal artery stenosis (RAS) predict the severity of coronary artery disease. DOI: http://dx.doi.org/10.3329/cardio.v7i2.22258 Cardiovasc. j. 2015; 7(2): 114-118

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Renal Artery Stenosis Predicts Coronary Artery Disease in Patients with Hypertension

PLoS ONE ◽

10.1371/journal.pone.0058635 ◽

2013 ◽

Vol 8 (3) ◽

pp. e58635 ◽

Cited By ~ 3

Author(s):

Thiago A. Macedo ◽

Rodrigo P. Pedrosa ◽

Valeria Costa-Hong ◽

Luiz J. Kajita ◽

Gustavo R. Morais ◽

...

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Renal Artery ◽

Renal Artery Stenosis ◽

Artery Stenosis ◽

Artery Disease

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Association of renal artery stenosis with left ventricular remodeling in patients coexisting with renovascular and coronary artery disease

Vascular ◽

10.1177/1708538118819676 ◽

2018 ◽

Vol 27 (2) ◽

pp. 190-198

Author(s):

Haojian Dong ◽

Yanqiu Ou ◽

Zhiqiang Nie ◽

Wenhui Huang ◽

Yuan Liu ◽

...

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Left Ventricular Hypertrophy ◽

Renal Artery ◽

Renal Artery Stenosis ◽

Ventricular Hypertrophy ◽

Left Ventricular ◽

Artery Stenosis ◽

Bilateral Renal Artery Stenosis ◽

Artery Disease

Objective Data about renal artery stenosis association with left ventricular remodeling in patients coexisting with coronary artery disease are scanty. Methods Patients with suspected both coronary artery disease and renal artery stenosis undergoing coronary and renal arteriography between October 2013 and December 2015 were prospectively enrolled. Left ventricular remodeling patterns were compared among different severity of renal artery stenosis group. Logistic regression was done to investigate the determinants of the left ventricular morphology. Results The overall prevalence of left ventricular hypertrophy was 40.5%, the highest in bilateral renal artery stenosis group compared to unilateral or normal ones (65.4% versus 41.8% versus 34.8%, p = 0.012). Significantly lower estimated glomerular filtration rate and higher cystatin C level were found in bilateral renal artery stenosis group than that in other two groups. Multivariate regression analysis showed that bilateral renal artery stenosis was associated with increased left ventricular hypertrophy and concentric hypertrophy with statistical significance (adjusted odds ratio = 2.909 (95%CI: 1.063–7.961), and 3.021 (95%CI: 1.136–8.033)). In addition, estimated glomerular filtration rate level was also related to left ventricular hypertrophy, while there was no significant interaction between renal artery stenosis and coronary artery disease on left ventricular hypertrophy/concentric hypertrophy occurrence. Conclusions Bilateral renal artery stenosis is significantly associated with increased left ventricular hypertrophy/concentric hypertrophy in patients with suspected concomitant coronary and renal artery disease, while no synergic effect could be found in coronary artery disease.

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