Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492012000400010
Jornal Vascular Brasileiro
Artigo de Revisão

Nefropatia isquêmica

Ischemic nephropathy

Marcelo Salame; Geórgia Andrade Padulla; Raquel Rodrigues Muradás; Gabriela Machado; Stela Karine Braun; Karine Rabuske dos Santos; Alexandre Valério Mussio; Clóvis Luis Konopka

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Resumo

A doença renal isquêmica ou nefropatia isquêmica relacionada à doença renovascular pode evoluir de forma rápida e progressiva para a insuficiência renal crônica. É fundamental a identificação e o tratamento precoces desta condição clínica, prevenindo a ocorrência de doença renal em estágio terminal, com consequente necessidade de terapia de substituição renal. Há uma década, o controle da hipertensão renovascular era o objetivo primário no manejo de pacientes com doença renovascular. Atualmente, a meta está dirigida principalmente para a estabilização e a melhora da função renal, além do controle dos níveis pressóricos.

Palavras-chave

nefropatia, Isquêmica, aterosclerose, hipertensão renovascular

Abstract

Ischemic renal disease or ischemic nephropathy related to renovascular disease can progress rapidly and gradually to chronic renal failure. Early diagnosis and treatment is crucial for this clinical condition, because they can prevent occurrence of end-stage renal disease, with consequent need for renal replacement therapy. A decade ago, renovascular hypertension control was the primary objective in the management of patients with renovascular disease. Currently, the goal is addressed primarily to the stabilization and improvement of renal function, in addition to blood pressure control.

Keywords

Ischemic nephropathy, atherosclerosis, renovascular hypertension

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