Prediction Rule for Renal Artery Stenosis
Authors: Vijay Rajput, Faddel Nammour
Journal: Annals of Internal Medicine (1999)

Letters3 August 1999Prediction Rule for Renal Artery StenosisVijay Rajput, MD and Faddel Nammour, MDVijay Rajput, MDRobert Wood Johnson Medical School; Camden, NJ 08103(Rajput)Robert Wood Johnson Medical School; Camden, NJ 08103(Nammour)Search for more papers by this author and Faddel Nammour, MDRobert Wood Johnson Medical School; Camden, NJ 08103(Rajput)Robert Wood Johnson Medical School; Camden, NJ 08103(Nammour)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-131-3-199908030-00015 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We were surprised that recurrent pulmonary edema was not included as a clinical characteristic in the multivariable logistic regression model reported by Krijnen and colleagues (1) for prediction of renal artery stenosis. Recurrent flash pulmonary edema (2, 3) has been described as a clinical characteristic for severe bilateral renal artery stenosis and unilateral renal artery stenosis to a single functioning kidney, both in transplant recipients (4) and patients who have not undergone transplantation and have normal cardiac function. We believe that inclusion of this sensitive and specific clinical characteristic would have increased this model's clinical prediction ability.... References1. Krijnen P, Jaarsveld BC, Steyerberg EW, Man in 't Veld AJ, Schalekamp MA, Habbema JD. A clinical prediction rule for renal artery stenosis. Ann Intern Med. 1998;129:705-11. LinkGoogle Scholar2. Planken II, Rietveld AP. Rapid onset pulmonary edema (flash edema) in renal artery stenosis. Neth J Med. 1998;52:116-9. CrossrefMedlineGoogle Scholar3. Diamond JR. Flash pulmonary edema and the diagnostic suspicion of occult renal artery stenosis. Am J Kidney Dis. Review. 1993; 21:328-30. Google Scholar4. Lye WV, Leongso , Lee EJ. Transplant renal artery stenosis presenting with recurrent acute pulmonary edema. Nephron. 1996;72:302-4. CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Vijay Rajput, MD; Faddel Nammour, MDAffiliations: Robert Wood Johnson Medical School; Camden, NJ 08103(Rajput)Robert Wood Johnson Medical School; Camden, NJ 08103(Nammour) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoA Clinical Prediction Rule for Renal Artery Stenosis Pieta Krijnen , Brigit C. van Jaarsveld , Ewout W. Steyerberg , Arie J. Man in 't Veld , Maarten A.D.H. Schalekamp , and J. Dik F. Habbema Prediction Rule for Renal Artery Stenosis S.J.C.M.M. Neggers and J. van der Meulen Prediction Rule for Renal Artery Stenosis Pieta Krijnen , Ewout W. Steyerberg , and Brigit C. van Jaarsveld Prediction Rule for Renal Artery Stenosis Michael Bloch , Samuel Mann , and Thomas Pickering Prediction Rule for Renal Artery Stenosis Eugene J. Fine and M. Donald Blaufox Metrics 3 August 1999Volume 131, Issue 3Page: 228KeywordsCardiac transplantationEdemaPulmonary arteriesRenal arteriesRenal transplantationStenosisTransplantation ePublished: 15 August 2000 Issue Published: 3 August 1999 Copyright & PermissionsCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...