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Madrid" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1889183701717953?idApp=UINPBA00004N" "url" => "/18891837/0000001800000003/v1_201307261520/S1889183701717953/v1_201307261520/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Deterioro de la función renal con inhibidores de la enzima convertidora de la angiotensina" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "137" "paginaFinal" => "140" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.M. Alcázar de la Ossa, J.A. Torres de Rueda, I. Bello Nicolau" "autores" => array:3 [ 0 => array:4 [ "nombre" => "J.M." "apellidos" => "Alcázar de la Ossa" "email" => array:1 [ 0 => "jalcazar@hdoc.insalud.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J.A." "apellidos" => "Torres de Rueda" ] 2 => array:2 [ "nombre" => "I." "apellidos" => "Bello Nicolau" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Nefrología. Hospital Universitario 12 de Octubre. Madrid" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: J. M. Alcázar. Avenida de Córdoba, s/n. 28041 Madrid" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Renal function impairment with angiotensin converting enzyme inhibitors" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec218563" "palabras" => array:5 [ 0 => "insuficiencia renal" 1 => "hipertensión vasculorrenal" 2 => "hipertensión" 3 => "enfermedad vascular arterioesclerótica" 4 => "IECA" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec218564" "palabras" => array:5 [ 0 => "Renal failure" 1 => "renovascular hypertension" 2 => "hypertension" 3 => "arteriosclerotic vascular disease" 4 => "ACEI" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se trata de dos pacientes ancianos con historia de hipertensión arterial de varios años de evolución. El caso n.° 1, con patología arterioesclerótica severa del sector aortoilíaco, fue tratado con un inhibidor de la enzima convertidora de la angiotensina (IECA) y presentó deterioro reversible de la función renal. Este dato hizo pensar en patología vasculorrenal y se realizaron pruebas diagnósticas que no confirmaron dicha lesión. El diagnóstico definitivo fue nefroangioesclerosis. El caso n.° 2, mujer de 78 años, con antecedentes largos de hipertensión, fundamentalmente sistólica, fue tratada con un IECA y furosemida. La suspensión de ambos fármacos normalizó la función renal. Las exploraciones complementarias demostraron la existencia de placas de ateromas en ambas arterias renales y el diagnóstico final fue hipertensión vasculorrenal bilateral. El interés práctico de ambos casos radica en que a la hora de elegir un fármaco del tipo IECA/ARA II en pacientes ancianos se debe valorar la posible existencia de patología ateroesclerótica en las arterias renales y monitorizar la creatinina sérica durante unos días.</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Two elderly patients with history of arterial hypertension for some years. Case 1, with a severe atherosclerotic condition of the aorto-iliac sector, was treated with an ACEI and developed reversible impairment of renal function. This finding suggested a renovascular condition and diagnostic tests were performed which did not confirm such lesion. The definite diagnosis was nephroangiosclerosis. Case 2: a 78-year old woman, with history of hypertension for several years, mainly systolic, was treated with and ACEI and furosemide. Renal function became normal after discontinuation of both drugs. Complementary examinations demonstrated the presence of atheromas on both renal arteries and the definite diagnosis was bilateral renovascular hypertension. The practical interest of both cases lies in the consideration to be paid to a potential atherosclerotic condition in the renal arteries when choosing a drug of the ACEI/ARA II type in elderly patients; also, serum creatinine should be monitored for several days.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Differential renal function during angiotensin-converting enzyme inhibition in renovascular hypertension" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "B. Jackson" 1 => "B.P. McGrath" 2 => "P.G. Matthews" 3 => "C. 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Journal Information
Deterioro de la función renal con inhibidores de la enzima convertidora de la angiotensina
Renal function impairment with angiotensin converting enzyme inhibitors
J.M. Alcázar de la Ossa
, J.A. Torres de Rueda, I. Bello Nicolau
Corresponding author
Servicio de Nefrología. Hospital Universitario 12 de Octubre. Madrid