Hipertensión renovascular y soplo abdominal en un caso: ¿ha modificado la tecnología su interpretación? / Renovascular hipertension and abdominal bruit: diagnostic implications of modern technological assessments: report of one case

RESUMO

A lateral abdominal bruit is considered an important finding for the detection of renovascular hypertension. However, the precision and accuracy of new techniques such as angiography, Doppler ultrasound and studies with radioisotopes have changed its value and clinical interpretation. We report a 75 years old woman with a bilateral renal artery stenosis in whom a bruit was heard over the artery that did not contribute to the genesis of hypertension and the significant arterial stenosis causing hypertension was silent. This particular situation could lead to erroneous clinical decisions