0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Editorials |

Screening for Renal Artery Stenosis: Are Scans More Accurate Than Clinical Criteria?

Christopher S. Wilcox, MD, PhD
[+] Article and Author Information

Georgetown University Medical Center; Washington, DC 20007 Requests for Reprints: Christopher S. Wilcox, MD, PhD, Georgetown University Medical Center, Division of Nephrology and Hypertension, 3800 Reservoir Road, NW, PHC F6003, Washington, DC 20007.


Copyright ©2004 by the American College of Physicians


Ann Intern Med. 1998;129(9):738-740. doi:10.7326/0003-4819-129-9-199811010-00011
Text Size: A A A

Deciding which patients with hypertension to investigate for renal artery stenosis remains one of the most perplexing and controversial decisions facing the internist. No screening test has been sufficiently accurate, inexpensive, noninvasive, reproducible, and adequately validated in practice settings to be accepted universally as a screening procedure. Ideally, the first step in diagnosis is to identify a group of patients with a prevalence of renal artery stenosis that is high enough to justify screening, the second step is to select a test with a high sensitivity, and the third step is to perform arteriography in patients who have positive test results. However, scrutiny of this apparently reasonable process shows that it has been heretofore unsuccessful.

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Related Point of Care
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)