Abstract
Background:
Renal artery stenosis may present as acute pulmonary oedema and be misinterpreted as congestive heart failure. ACE inhibitors and angiotensin-II antagonists are widely used among patients with congestive heart failure and hypertension.
Material and methods:
The authors present a patient with congestive heart failure caused by a combination of coronary heart disease and bilateral renal artery stenosis. The patient developed acute kidney failure secondary to ACE inhibitor and angiotensin II antagonist treatment.
Results:
Mechanisms behind pulmonary oedema secondary to renovascular hypertension are discussed.
Interpretation:
Revascularisation is the treatment of choice for this patient category.
Publication types
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Case Reports
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English Abstract
MeSH terms
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Acute Kidney Injury / chemically induced
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Acute Kidney Injury / complications
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Adult
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Angiotensin II / antagonists & inhibitors
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Angiotensin-Converting Enzyme Inhibitors / administration & dosage
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Angiotensin-Converting Enzyme Inhibitors / adverse effects
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Antihypertensive Agents / administration & dosage
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Antihypertensive Agents / adverse effects
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Diagnosis, Differential
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Enalapril / administration & dosage
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Enalapril / adverse effects
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Heart Failure / diagnosis
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Humans
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Hypertension / complications
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Hypertension / drug therapy
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Hypertension, Renovascular / complications
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Male
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Pulmonary Edema / diagnosis
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Pulmonary Edema / etiology*
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Renal Artery Obstruction / complications*
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Renal Artery Obstruction / diagnosis
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Renal Artery Obstruction / surgery
Substances
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Angiotensin-Converting Enzyme Inhibitors
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Antihypertensive Agents
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Angiotensin II
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Enalapril