Duclos J, Jouanne E, Opazo M
Departamento de Nefrología, Facultad de Medicina, Universidad de Valparaíso, Chile.
Rev Med Chil. 1997 Nov;125(11):1367-70.
A lateral abdominal bruit is considered an important finding for the detection of renovascular hypertension. However, the precision and accuracy of new techniques such as angiography, Doppler ultrasound and studies with radioisotopes have changed its value and clinical interpretation. We report a 75 years old woman with a bilateral renal artery stenosis in whom a bruit was heard over the artery that did not contribute to the genesis of hypertension and the significant arterial stenosis causing hypertension was silent. This particular situation could lead to erroneous clinical decisions.
腹部侧方血管杂音被认为是检测肾血管性高血压的一项重要发现。然而，血管造影、多普勒超声以及放射性核素研究等新技术的精确性和准确性改变了其价值及临床解读。我们报告一名75岁女性，患有双侧肾动脉狭窄，其动脉上可闻及血管杂音，但该杂音与高血压的发生无关，而导致高血压的显著动脉狭窄却无杂音。这种特殊情况可能导致错误的临床决策。
