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
Hauptverfasser: Xiong, Hong‐liang, Peng, Meng, Jiang, Xiong‐jing, Che, Wu‐qiang, Dong, Hui, Chen, Yang, Zou, Yu‐bao, Gao, Run‐lin, Liu, Li-sheng
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container_issue 9
container_start_page 1302
container_title The journal of clinical hypertension (Greenwich, Conn.)
container_volume 20
creator Xiong, Hong‐liang
Peng, Meng
Jiang, Xiong‐jing
Che, Wu‐qiang
Dong, Hui
Chen, Yang
Zou, Yu‐bao
Gao, Run‐lin
Liu, Li-sheng
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 
doi_str_mv 10.1111/jch.13356
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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 &gt;40 years (n = 2455), female patients (n = 1097), male patients (n = 1808), female patients aged &gt;40 years (n = 808), and male patients aged &gt;40 years (n = 1647), there were a gradual increase in the proportion of atherosclerotic RAS (P &lt; 0.05), a gradual decrease in the proportion of RAS caused by TA (P &lt; 0.05), and almost no change in the proportion of RAS caused by FMD during the 18‐year period (P &gt; 0.05). The data show that the primary causes of RAS are AS, TA, and FMD. 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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 &gt;40 years (n = 2455), female patients (n = 1097), male patients (n = 1808), female patients aged &gt;40 years (n = 808), and male patients aged &gt;40 years (n = 1647), there were a gradual increase in the proportion of atherosclerotic RAS (P &lt; 0.05), a gradual decrease in the proportion of RAS caused by TA (P &lt; 0.05), and almost no change in the proportion of RAS caused by FMD during the 18‐year period (P &gt; 0.05). The data show that the primary causes of RAS are AS, TA, and FMD. 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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 &gt;40 years (n = 2455), female patients (n = 1097), male patients (n = 1808), female patients aged &gt;40 years (n = 808), and male patients aged &gt;40 years (n = 1647), there were a gradual increase in the proportion of atherosclerotic RAS (P &lt; 0.05), a gradual decrease in the proportion of RAS caused by TA (P &lt; 0.05), and almost no change in the proportion of RAS caused by FMD during the 18‐year period (P &gt; 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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source MEDLINE; Wiley Free Content; EZB-FREE-00999 freely available EZB journals; Wiley Online Library All Journals; PubMed Central
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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