RESUMEN
El «flash» edema pulmonar es un tipo de edema pulmonar recurrente que normalmente se presenta en pacientes con estenosis crítica de arteria renal bilateral o unilateral enmonorrenos. Una recomendación reciente de la 20.aReunión Europea de Hipertensión propone denominar a esta entidad clínica síndrome de Pickering. En la actualidad representa una de las pocas indicaciones claras de tratamiento endovascular en la enfermedad renovascular ateroesclerótica. Presentamos el caso de un varón de 61 años con síndrome de Pickering y buena evolución tras revascularización (AU)
Flash pulmonary edema is a type of recurrent pulmonary edema that usually develops in patients with critical bilateral renal artery stenosis or renal artery stenosis to a solitary kidney. A recent recommendation from the 20thEuropean Meeting on Hypertension proposes naming this clinical entity Pickering Syndrome. Currently, it is one of the few clear indications for endovascular procedures in atherosclerotic renovascular disease. We present a case of a61-year old man with Pickering syndrome and good outcome after revascularization (AU)
Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Obstrucción de la Arteria Renal/complicaciones , Edema Pulmonar/complicaciones , Hipertensión Renovascular/fisiopatología , Factores de RiesgoRESUMEN
Aortic stiffness is an independent predictor factor for cardiovascular risk. Different methods for determining pulse wave velocity (PWV) are used, among which the most common are mechanical methods such as SphygmoCor or Complior, which require specific devices and are limited by technical difficulty in obtaining measurements. Doppler guided by 2D ultrasound is a good alternative to these methods. We studied 40 patients (29 male, aged 21 to 82 years) comparing the Complior method with Doppler. Agreement of both devices was high (R = 0.91, 0.84-0.95, 95% CI). The reproducibility analysis revealed no intra-nor interobserver differences. Based on these results, we conclude that Doppler ultrasound is a reliable and reproducible alternative to other established methods for the measurement of aortic PWV.
