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EVALUATION OF CAPTOPRIL RENOGRAPHY WITH ^99mTc-MAG3 IN THE DIAGNOSIS OF RENOVASCULAR HYPERTENSION

康增寿, Fang Chen, Zhiqiang Wang

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Abstract

Eighty-one patients with suspected renovascular hypertension (RVH) were studied using^99mTc-MAG3 renog-raphy before and after administration of 25 mg captopril (CAP).Among the 81 cases,22 were proven by renal arteriography or DSA.The results showed that by using CAP,the sensitivity and specificity of renography in RVH diagnosis increased from 66% to 72% and from 33%to 100%,respectively.We conclude that renography is a simple,noninvasive,sensitive and specific method for screening RVH and is suitable for use in hospitals with no γ-cameras.

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What this paper is about

Eighty-one patients with suspected renovascular hypertension (RVH) were studied using^99mTc-MAG3 renog-raphy before and after administration of 25 mg captopril (CAP).Among the 81 cases,22 were proven by renal arteriography or DSA.The results showed that by using CAP,the sensitivity and specificity of renography in RVH diagnosis increased from 66% to 72% and from 33%to 100%,respectively.We conclude that renography is a simple,noninvasive,sensitive and specific method for screening RVH and is suitable for use in hospitals with no γ-cameras.

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Available abstract

Eighty-one patients with suspected renovascular hypertension (RVH) were studied using^99mTc-MAG3 renog-raphy before and after administration of 25 mg captopril (CAP).Among the 81 cases,22 were proven by renal arteriography or DSA.The results showed that by using CAP,the sensitivity and specificity of renography in RVH diagnosis increased from 66% to 72% and from 33%to 100%,respectively.We conclude that renography is a simple,noninvasive,sensitive and specific method for screening RVH and is suitable for use in hospitals with no γ-cameras.

Key concepts: Renovascular hypertension, Captopril, Medicine, Radioisotope renography, Internal medicine, Cardiology, Kidney, Blood pressure

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