Comparison of renal arterial resistive index in type 2 diabetic nephropathy stage 0-4

  • Sharareh Sanei Sistani | sanei1345@yahoo.com Department of Radiology, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.
  • Ali Alidadi Department of Nephrology, Faculty of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.
  • Alireza Ansari Moghadam Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
  • Fatemeh Mohamadnezhad Department of Radiology, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.
  • Bahareh Heshmat Ghahderijani Department of Radiology, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.

Abstract

Chronic kidney disease (CKD) is one of world health problems and its prevalence and incidence is increasing. Chronic Kidney Failure involves a range of pathophysiologic processes that are associated with impaired renal function, leading to cardiovascular morbidity and mortality. Renal artery resistive index (RI) is indicator of atherosclerotic change in small vessels. The current study was aimed to assess RI in diabetic nephropathy patients at stage 0-4 and to compare RRI with HbA1c, systolic blood pressure, diastolic blood pressure, albuminuria and glomerular filtration rate (GFR). In this cross sectional study,100 diabetic nephropathy patients who attend to nephrology clinic of Ali-ibn Abi Talib Hospital were entered to the study. Ultrasound Doppler renal resistive index was measured and other information was recorded from their last lab data that was recorded in their medical records. Variable included: systolic blood pressure, diastolic blood pressure, albuminuria, GFR, HbA1c. All data was analyzed by Pearson's Correlation Coefficient. The findings indicated a significant correlation of RI with systolic BP (p=0.04 R=0.75), microalbuminuria (P=0.001 R=0.67), and GFR (P=0.001 R=0.76), while diastolic BP (P=0/45 R=0/32), HbA1c (P=0/56 R=0/43) were not found to be associated with RI. The findings indicated that increased systolic blood pressure, albumin excretion (microalbuminuria) and severity of disease were capable of increasing RI values in diabetic nephropathy patients. In addition, decreased GFR.

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Published
2019-08-06
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Original Articles
Keywords:
Chronic kidney disease, Ultrasound Doppler renal resistive index, Renal arterial resistive index, Diabetic nephropathy
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How to Cite
Sanei Sistani, S., Alidadi, A., Ansari Moghadam, A., Mohamadnezhad, F., & Heshmat Ghahderijani, B. (2019). Comparison of renal arterial resistive index in type 2 diabetic nephropathy stage 0-4. European Journal of Translational Myology, 29(4). https://doi.org/10.4081/ejtm.2019.8364

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