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Cardiologia Croatica, Vol. 16 No. 11-12, 2021.

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https://doi.org/10.15836/ccar2021.365

Zbrinjavanje bolesnika s arterijskom hipertenzijom prije i nakon intervencijskog postupka na renalnim arterijama

Đurđa Vlajković orcid id orcid.org/0000-0001-7605-5532 ; Klinički bolnički centar Sestre milosrdnice, Zagreb, Hrvatska
Cecilija Leporić orcid id orcid.org/0000-0001-9856-4223 ; Klinički bolnički centar Sestre milosrdnice, Zagreb, Hrvatska
Božica Leško orcid id orcid.org/0000-0001-7423-3999 ; Klinički bolnički centar Sestre milosrdnice, Zagreb, Hrvatska

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str. 365-365

preuzimanja: 201

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Puni tekst: engleski pdf 135 Kb

str. 365-365

preuzimanja: 159

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Sažetak

Ključne riječi

arterijska hipertenzija; renalna angiografija

Hrčak ID:

265059

URI

https://hrcak.srce.hr/265059

Datum izdavanja:

6.10.2021.

Podaci na drugim jezicima: engleski

Posjeta: 1.054 *

Copyright: 2021, Croatian Cardiac Society

Date received: 07 September 2021

Date accepted: 14 September 2021

Publication date (print and electronic): October 2021

Volume: 16

Issue: 11-12

Page: 365

Publisher ID: CC 2021 16_11-12_365

DOI: 10.15836/ccar2021.365

Article Information (continued)

Categories:

Subject: Case reports

Categories:

Subject: Extended Abstract

Keywords:

Keyword: KLJUČNE RIJEČI: arterijska hipertenzija

Keyword: renalna angiografija

KEYWORDS: :

KEYWORDS:

Keyword: hypertension

Keyword: renal angiography

Care for patients with hypertension before and after an intervention procedure on the renal arteries

Translated Title (hr): Zbrinjavanje bolesnika s arterijskom hipertenzijom prije i nakon intervencijskog postupka na renalnim arterijama

[https://orcid.org/0000-0001-7605-5532] Đurđa Vlajković[*]

[https://orcid.org/0000-0001-9856-4223] Cecilija Leporić

[https://orcid.org/0000-0001-7423-3999] Božica Leško

 

Klinički bolnički centar Sestre milosrdnice, Zagreb, Hrvatska

University Hospital Centre „Sestre milosrdnice“, Zagreb, Croatia

Author notes:

Correspondence to: [*] Address for correspondence: Đurđa Vlajković, Klinički bolnički centar Sestre milosrdnice, Vinogradska 29, HR-10000 Zagreb, Croatia / Phone: + 385-98-925-9090 / E-mail: durda.vlajkovic@kbcsm.hr

Poorly regulated blood pressure values or poor therapeutic response to antihypertensive therapy are required in the case of proven anatomical or pathological changes in the renal arteries during therapeutic interventional procedures such as dilation or, if necessary, implantation of the stent. (1) The care of such a patient includes mental and physical preparation, carrying out diagnostic procedures such as laboratory blood tests, imaging methods (MSCT angiography of renal arteries and abdominal aorta), continuous measurement of blood pressure and preparation for intervention and continuous nursing care after the interventional procedure of renal artery dilation.

Angiography is considered a safe procedure, but there are rare complications: hematoma and pain at the puncture site, allergic reaction to the contrast agent, infection at the puncture site, kidney damage by contrast agent, heart attack or stroke, damage to the artery. After completing the procedure, angiography, rest, control of the vital functions and fluid balance sheets with a view to preventing any complications and monitoring the patient’s health status. It is recommended that you drink a larger amount of liquid to expel the contrast agent from the organism by urination. After completing hospital treatment, it is possible to return to daily activities, although it is good to avoid more severe strain (e.g., lifting severe subjects) for the first week. Existing cardiovascular diseases, hyperlipidemia, diabetes, age of the patient, and body weight require an individualized approach to the patient in the diagnosis of diagnostics and therapeutic intervention procedure.

LITERATURE

1 

Textor SC, McKusick MM. Renal artery stenosis: if and when to intervene. Curr Opin Nephrol Hypertens. 2016 March;25(2):144–51. https://doi.org/10.1097/MNH.0000000000000202 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/26741885

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