AARON SPITAL, M.D.
To the editor: In the August issue, Hricik (1) suggests that volume status is an important factor in captopril-induced functional renal failure that occurs when perfusion pressure to the total renal mass is greatly reduced. Thus, in a patient with renal-artery stenosis after transplantation, Hricik has shown that after 25 mg of captropril there was a 49% reduction in inulin clearance when the patient was sodium depleted, and only a 14% reduction in inulin clearance when the patient was sodium repleted. However, it is hard to understand the marked rise in serum creatinine level that was noted the same day
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SPITAL A. Captopril-Induced Renal Insufficiency. Ann Intern Med. 1986;104:126–127. doi: 10.7326/0003-4819-104-1-126
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Published: Ann Intern Med. 1986;104(1):126-127.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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