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Pregled bibliografske jedinice broj: 734155

Časopis

Autori: Eterović, Davor; Šitum, Marijan; Marković, Vinko; Kruoslav, Kuna; Punda, Ante
Naslov: Are we estimating the adverse effects of shock-wave lithotripsy on a faulty scale?
( Are we estimating the adverse effects of shock-wave lithotripsy on a faulty scale? )
Izvornik: Medical hypotheses (0306-9877) 82 (2014), 6; 691-693
Vrsta rada: članak
Ključne riječi: shock-wave lithotripsy; renal stones
( shock-wave lithotripsy; renal stones )
Sažetak:
The adverse effect of shock-wave lithotripsy (SWL) for renal stones on blood pressure is currently defined as its post-treatment increase. On the contrary, we hypothesize that even mild, unilateral renal obstruction initiates an increase in blood pressure. Then, in absence of treatment-induced injury, the stone removal should decrease the blood pressure. We derived the formula to assess the expected change in the mean arterial pressure following relief of renal obstruction without affecting the kidney functions. The predictions were well replicated in the cohort of patients with renal stone treated with parenchyma-saving open surgery, with 6.4 mmHg decrease at 3 months. On the contrary, in SWL cohort, instead of the expected 4.7 mmHg decrease, the blood pressure was unchanged. In conclusion, the absence of decrease in blood pressure is a very common adverse effect of SWL, leading to an epidemiologically significant increase in the risk of arterial vascular events.
Izvorni jezik: eng
Rad je indeksiran u
bazama podataka:
Current Contents Connect (CCC)
MEDLINE
Scopus
SCI-EXP, SSCI i/ili A&HCI
Science Citation Index Expanded (SCI-EXP) (sastavni dio Web of Science Core Collectiona)
Kategorija: Znanstveni
Znanstvena područja:
Kliničke medicinske znanosti
URL Internet adrese: http://www.medical-hypotheses.com/article/S0306-9877(14)00107-8/fulltext
http://www.sciencedirect.com/science/article/pii/S0306987714001078
Broj citata:
Altmetric:
DOI: 10.1016/j.mehy.2014.03.005
URL cjelovitog teksta:
Google Scholar: Are we estimating the adverse effects of shock-wave lithotripsy on a faulty scale?
Upisao u CROSBI: Ante Punda (ante.punda@mefst.hr), 25. Stu. 2014. u 20:30 sati



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