Renal resistive index and aortic knob width relationship as a predictor of renal prognosis in essential hypertension

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dc.contributor.authorSevencan, Nurhayat Ozkan
dc.contributor.authorOzkan, Aysegul Ertinmaz
dc.date.accessioned2024-09-29T16:03:11Z
dc.date.available2024-09-29T16:03:11Z
dc.date.issued2018
dc.departmentKarabük Üniversitesien_US
dc.description.abstractThe scientific studies that have been conducted so far highlight that renal resistive index (RI) and aortic knob width (AKW) indicate poor prognosis regarding renal and cardiovascular mortality. But the existence of a direct relationship RI and AKW is unclear. This study aims investigating the relationship between RI and the measured AKW in chest radiography of the patients with hypertensive nephropathy who do not require renal replacement therapy. This prospective study included 268 consecutive patients with essential hypertension. Patients were divided into 2 groups as RI >= 0.7 and RI < 0.7. The ROC curve, sensitivity, and specificity ratios were evaluated to determine which AKW value is the best predictive one for the RI >= 0.7. The cutoff point of AKW was evaluated as >= 36 for the cases with RI >= 0.7: sensitivity was 71.22%; specificity was 71.32%; the positive predictive value (PPV) was 72.79; the negative predictive value (NPV) was 69.70, and the accuracy was 71.27. Area under the ROC curve +/- standard error (AUC +/- SE)=0.729 +/- 0.031 (P < .001). AKW can provide important predictive information about the subclinical renal dysfunction in hypertensive patients with RI >= 0.7. Moreover; AKW is a predictive factor for both the diagnostic and prognostic evaluation of renal pathologies.en_US
dc.identifier.doi10.1097/MD.0000000000012434
dc.identifier.issn0025-7974
dc.identifier.issn1536-5964
dc.identifier.issue40en_US
dc.identifier.pmid30290599en_US
dc.identifier.scopus2-s2.0-85054442352en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.1097/MD.0000000000012434
dc.identifier.urihttps://hdl.handle.net/20.500.14619/5939
dc.identifier.volume97en_US
dc.identifier.wosWOS:000452230500013en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofMedicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectaortic knob widthen_US
dc.subjectessential hypertensionen_US
dc.subjectrenal prognosisen_US
dc.subjectrenal resistive indexen_US
dc.titleRenal resistive index and aortic knob width relationship as a predictor of renal prognosis in essential hypertensionen_US
dc.typeArticleen_US

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