Time trends regarding the etiology of renal artery stenosis: 18 years’ experience from the China Center for Cardiovascular Disease
The time trends regarding the etiology of renal artery stenosis (RAS) are changing, but few investigations have focused on these issues. This study aimed to analyze the time trends regarding the etiology of RAS in a large patient sample from the China Center for Cardiovascular Disease. Consecutive i...
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Veröffentlicht in: | The journal of clinical hypertension (Greenwich, Conn.) Conn.), 2018-09, Vol.20 (9), p.1302-1309 |
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description | The time trends regarding the etiology of renal artery stenosis (RAS) are changing, but few investigations have focused on these issues. This study aimed to analyze the time trends regarding the etiology of RAS in a large patient sample from the China Center for Cardiovascular Disease. Consecutive inpatients with RAS from January 1999 to December 2016 were enrolled in this study. The etiologic diagnosis of RAS was based on established criteria. We retrospectively analyzed the time trends regarding the etiology of RAS during an 18‐year period. A total of 2905 patients with RAS were enrolled. There were 2393 (82.4%) patients with atherosclerosis (AS), 345 (11.9%) with Takayasu arteritis (TA), 126 (4.3%) with fibromuscular dysplasia (FMD), and 41 (1.4%) with other causes. Among all patients (n = 2905), patients aged ≤ 40 years (n = 450), patients aged >40 years (n = 2455), female patients (n = 1097), male patients (n = 1808), female patients aged >40 years (n = 808), and male patients aged >40 years (n = 1647), there were a gradual increase in the proportion of atherosclerotic RAS (P |
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This study aimed to analyze the time trends regarding the etiology of RAS in a large patient sample from the China Center for Cardiovascular Disease. Consecutive inpatients with RAS from January 1999 to December 2016 were enrolled in this study. The etiologic diagnosis of RAS was based on established criteria. We retrospectively analyzed the time trends regarding the etiology of RAS during an 18‐year period. A total of 2905 patients with RAS were enrolled. There were 2393 (82.4%) patients with atherosclerosis (AS), 345 (11.9%) with Takayasu arteritis (TA), 126 (4.3%) with fibromuscular dysplasia (FMD), and 41 (1.4%) with other causes. Among all patients (n = 2905), patients aged ≤ 40 years (n = 450), patients aged >40 years (n = 2455), female patients (n = 1097), male patients (n = 1808), female patients aged >40 years (n = 808), and male patients aged >40 years (n = 1647), there were a gradual increase in the proportion of atherosclerotic RAS (P < 0.05), a gradual decrease in the proportion of RAS caused by TA (P < 0.05), and almost no change in the proportion of RAS caused by FMD during the 18‐year period (P > 0.05). The data show that the primary causes of RAS are AS, TA, and FMD. The proportion of RAS caused by AS and TA gradually increased and decreased, respectively, over time, and the proportion of RAS caused by FMD showed no significant change.</description><identifier>ISSN: 1524-6175</identifier><identifier>EISSN: 1751-7176</identifier><identifier>DOI: 10.1111/jch.13356</identifier><identifier>PMID: 30027575</identifier><language>eng</language><publisher>United States: John Wiley and Sons Inc</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Atherosclerosis - complications ; Atherosclerosis - epidemiology ; Child ; China - epidemiology ; distribution ; etiology ; Female ; Fibromuscular Dysplasia - complications ; Fibromuscular Dysplasia - epidemiology ; Humans ; Male ; Middle Aged ; Original Paper ; Renal Artery Obstruction - etiology ; Renal Artery Stenosis ; Retrospective Studies ; Takayasu Arteritis - complications ; Takayasu Arteritis - epidemiology ; trend ; Young Adult</subject><ispartof>The journal of clinical hypertension (Greenwich, Conn.), 2018-09, Vol.20 (9), p.1302-1309</ispartof><rights>2018 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4156-c9a66fec2892088f40a00bbd96847f286dd9f4471e5f305f9bdae8eb347e4aa83</citedby><cites>FETCH-LOGICAL-c4156-c9a66fec2892088f40a00bbd96847f286dd9f4471e5f305f9bdae8eb347e4aa83</cites><orcidid>0000-0003-0187-8379</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8030973/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8030973/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,1416,1432,27922,27923,45572,45573,46407,46831,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30027575$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xiong, Hong‐liang</creatorcontrib><creatorcontrib>Peng, Meng</creatorcontrib><creatorcontrib>Jiang, Xiong‐jing</creatorcontrib><creatorcontrib>Che, Wu‐qiang</creatorcontrib><creatorcontrib>Dong, Hui</creatorcontrib><creatorcontrib>Chen, Yang</creatorcontrib><creatorcontrib>Zou, Yu‐bao</creatorcontrib><creatorcontrib>Gao, Run‐lin</creatorcontrib><creatorcontrib>Liu, Li-sheng</creatorcontrib><title>Time trends regarding the etiology of renal artery stenosis: 18 years’ experience from the China Center for Cardiovascular Disease</title><title>The journal of clinical hypertension (Greenwich, Conn.)</title><addtitle>J Clin Hypertens (Greenwich)</addtitle><description>The time trends regarding the etiology of renal artery stenosis (RAS) are changing, but few investigations have focused on these issues. This study aimed to analyze the time trends regarding the etiology of RAS in a large patient sample from the China Center for Cardiovascular Disease. Consecutive inpatients with RAS from January 1999 to December 2016 were enrolled in this study. The etiologic diagnosis of RAS was based on established criteria. We retrospectively analyzed the time trends regarding the etiology of RAS during an 18‐year period. A total of 2905 patients with RAS were enrolled. There were 2393 (82.4%) patients with atherosclerosis (AS), 345 (11.9%) with Takayasu arteritis (TA), 126 (4.3%) with fibromuscular dysplasia (FMD), and 41 (1.4%) with other causes. Among all patients (n = 2905), patients aged ≤ 40 years (n = 450), patients aged >40 years (n = 2455), female patients (n = 1097), male patients (n = 1808), female patients aged >40 years (n = 808), and male patients aged >40 years (n = 1647), there were a gradual increase in the proportion of atherosclerotic RAS (P < 0.05), a gradual decrease in the proportion of RAS caused by TA (P < 0.05), and almost no change in the proportion of RAS caused by FMD during the 18‐year period (P > 0.05). The data show that the primary causes of RAS are AS, TA, and FMD. The proportion of RAS caused by AS and TA gradually increased and decreased, respectively, over time, and the proportion of RAS caused by FMD showed no significant change.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Atherosclerosis - complications</subject><subject>Atherosclerosis - epidemiology</subject><subject>Child</subject><subject>China - epidemiology</subject><subject>distribution</subject><subject>etiology</subject><subject>Female</subject><subject>Fibromuscular Dysplasia - complications</subject><subject>Fibromuscular Dysplasia - epidemiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Renal Artery Obstruction - etiology</subject><subject>Renal Artery Stenosis</subject><subject>Retrospective Studies</subject><subject>Takayasu Arteritis - complications</subject><subject>Takayasu Arteritis - epidemiology</subject><subject>trend</subject><subject>Young Adult</subject><issn>1524-6175</issn><issn>1751-7176</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kcFuFSEUhonR2Fpd-AKGpS6mhQEGxoWJGbW1aeKmrgnDHO6lmYErzK3Ozo0P4c5n8VF8ktLettGFbCDnfHznJD9Czyk5pOUcXdj1IWVMNA_QPpWCVpLK5mF5i5pXTansoSc5XxAiGGvJY7THCKmlkGIf_Tj3E-A5QRgyTrAyafBhhec1YJh9HONqwdGVTjAjNmmGtOA8Q4jZ59eYqt-_FjAp__n-E8O3DSQPwQJ2KU43jm7tg8EdhPIRu5hwdz0gXppst6NJ-J3PYDI8RY-cGTM8u70P0OcP78-7k-rs0_HH7u1ZZTkVTWVb0zQObK3amijlODGE9P3QNopLV6tmGFrHuaQgHCPCtf1gQEHPuARujGIH6M3Ou9n2Ewy27JXMqDfJTyYtOhqv_-0Ev9areKkVYaSVrAhe3gpS_LKFPOvJZwvjaALEbdY1KVDNJOUFfbVDbYo5J3D3YyjR17HpEpu-ia2wL_7e6568y6kARzvgqx9h-b9Jn3YnO-UVFQGmeg</recordid><startdate>201809</startdate><enddate>201809</enddate><creator>Xiong, Hong‐liang</creator><creator>Peng, Meng</creator><creator>Jiang, Xiong‐jing</creator><creator>Che, Wu‐qiang</creator><creator>Dong, Hui</creator><creator>Chen, Yang</creator><creator>Zou, Yu‐bao</creator><creator>Gao, Run‐lin</creator><creator>Liu, Li-sheng</creator><general>John Wiley and Sons Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0187-8379</orcidid></search><sort><creationdate>201809</creationdate><title>Time trends regarding the etiology of renal artery stenosis: 18 years’ experience from the China Center for Cardiovascular Disease</title><author>Xiong, Hong‐liang ; Peng, Meng ; Jiang, Xiong‐jing ; Che, Wu‐qiang ; Dong, Hui ; Chen, Yang ; Zou, Yu‐bao ; Gao, Run‐lin ; Liu, Li-sheng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4156-c9a66fec2892088f40a00bbd96847f286dd9f4471e5f305f9bdae8eb347e4aa83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Atherosclerosis - complications</topic><topic>Atherosclerosis - epidemiology</topic><topic>Child</topic><topic>China - epidemiology</topic><topic>distribution</topic><topic>etiology</topic><topic>Female</topic><topic>Fibromuscular Dysplasia - complications</topic><topic>Fibromuscular Dysplasia - epidemiology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Renal Artery Obstruction - etiology</topic><topic>Renal Artery Stenosis</topic><topic>Retrospective Studies</topic><topic>Takayasu Arteritis - complications</topic><topic>Takayasu Arteritis - epidemiology</topic><topic>trend</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xiong, Hong‐liang</creatorcontrib><creatorcontrib>Peng, Meng</creatorcontrib><creatorcontrib>Jiang, Xiong‐jing</creatorcontrib><creatorcontrib>Che, Wu‐qiang</creatorcontrib><creatorcontrib>Dong, Hui</creatorcontrib><creatorcontrib>Chen, Yang</creatorcontrib><creatorcontrib>Zou, Yu‐bao</creatorcontrib><creatorcontrib>Gao, Run‐lin</creatorcontrib><creatorcontrib>Liu, Li-sheng</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The journal of clinical hypertension (Greenwich, Conn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xiong, Hong‐liang</au><au>Peng, Meng</au><au>Jiang, Xiong‐jing</au><au>Che, Wu‐qiang</au><au>Dong, Hui</au><au>Chen, Yang</au><au>Zou, Yu‐bao</au><au>Gao, Run‐lin</au><au>Liu, Li-sheng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Time trends regarding the etiology of renal artery stenosis: 18 years’ experience from the China Center for Cardiovascular Disease</atitle><jtitle>The journal of clinical hypertension (Greenwich, Conn.)</jtitle><addtitle>J Clin Hypertens (Greenwich)</addtitle><date>2018-09</date><risdate>2018</risdate><volume>20</volume><issue>9</issue><spage>1302</spage><epage>1309</epage><pages>1302-1309</pages><issn>1524-6175</issn><eissn>1751-7176</eissn><abstract>The time trends regarding the etiology of renal artery stenosis (RAS) are changing, but few investigations have focused on these issues. This study aimed to analyze the time trends regarding the etiology of RAS in a large patient sample from the China Center for Cardiovascular Disease. Consecutive inpatients with RAS from January 1999 to December 2016 were enrolled in this study. The etiologic diagnosis of RAS was based on established criteria. We retrospectively analyzed the time trends regarding the etiology of RAS during an 18‐year period. A total of 2905 patients with RAS were enrolled. There were 2393 (82.4%) patients with atherosclerosis (AS), 345 (11.9%) with Takayasu arteritis (TA), 126 (4.3%) with fibromuscular dysplasia (FMD), and 41 (1.4%) with other causes. Among all patients (n = 2905), patients aged ≤ 40 years (n = 450), patients aged >40 years (n = 2455), female patients (n = 1097), male patients (n = 1808), female patients aged >40 years (n = 808), and male patients aged >40 years (n = 1647), there were a gradual increase in the proportion of atherosclerotic RAS (P < 0.05), a gradual decrease in the proportion of RAS caused by TA (P < 0.05), and almost no change in the proportion of RAS caused by FMD during the 18‐year period (P > 0.05). The data show that the primary causes of RAS are AS, TA, and FMD. The proportion of RAS caused by AS and TA gradually increased and decreased, respectively, over time, and the proportion of RAS caused by FMD showed no significant change.</abstract><cop>United States</cop><pub>John Wiley and Sons Inc</pub><pmid>30027575</pmid><doi>10.1111/jch.13356</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-0187-8379</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Age Factors Aged Aged, 80 and over Atherosclerosis - complications Atherosclerosis - epidemiology Child China - epidemiology distribution etiology Female Fibromuscular Dysplasia - complications Fibromuscular Dysplasia - epidemiology Humans Male Middle Aged Original Paper Renal Artery Obstruction - etiology Renal Artery Stenosis Retrospective Studies Takayasu Arteritis - complications Takayasu Arteritis - epidemiology trend Young Adult |
title | Time trends regarding the etiology of renal artery stenosis: 18 years’ experience from the China Center for Cardiovascular Disease |
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