Acute renal infarction: A 10-year experience

S. H. Tsai, S. J. Chu, S. J. Chen, Y. M. Fan, W. C. Chang, C. P. Wu, Chin Wang Hsu

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

The diagnosis of acute renal infarction (ARI) is often delayed or unrecognised because of its non-specific presentation and the rarity of the disease. We evaluated the clinical presentations, laboratory findings, underlying medical conditions and treatment of 18 Chinese patients with ARI who presented to the emergency department (ED) of a tertiary teaching hospital from 1995 to 2004. We identified 14 non-trauma and four trauma patients with ARI. The mean duration from the onset of symptoms to the diagnosis of ARI was 1.9 days. The prevalence of concurrent events was 39%. About 64.5% of non-trauma patients had histories of atrial fibrillation, structural heart diseases or previous embolic events. The laboratory characteristics were neither specific nor sensitive for the diagnosis of ARI. Conservative treatment, local intra-arterial thrombolytic and i.v. thrombolytic therapies were provided in nine, five and two patients respectively. Decreased effective renal plasma flow in affected kidneys was found in three of three patients. Serum creatinine (Cr) was normal or elevated not more than 25% of baseline in 16 cases. ARI may resemble many non-renal diseases; however, repeated evaluation and a high index of suspicion are required for early diagnosis. Concurrent injuries or thromboembolism in other foci should be noticed. Early contrast-enhanced computerized tomography scan should be considered for high-risk patients. Patients with ARI should be followed by functional studies rather than serum Cr level.

Original languageEnglish
Pages (from-to)62-67
Number of pages6
JournalInternational Journal of Clinical Practice
Volume61
Issue number1
DOIs
Publication statusPublished - Jan 2007
Externally publishedYes

Fingerprint

antineoplaston A10
Infarction
Kidney
Creatinine
Effective Renal Plasma Flow
Thrombolytic Therapy
Thromboembolism
Wounds and Injuries
Serum
Tertiary Care Centers
Teaching Hospitals
Atrial Fibrillation
Hospital Emergency Service
Early Diagnosis
Heart Diseases
Tomography

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Tsai, S. H., Chu, S. J., Chen, S. J., Fan, Y. M., Chang, W. C., Wu, C. P., & Hsu, C. W. (2007). Acute renal infarction: A 10-year experience. International Journal of Clinical Practice, 61(1), 62-67. https://doi.org/10.1111/j.1742-1241.2006.01136.x

Acute renal infarction : A 10-year experience. / Tsai, S. H.; Chu, S. J.; Chen, S. J.; Fan, Y. M.; Chang, W. C.; Wu, C. P.; Hsu, Chin Wang.

In: International Journal of Clinical Practice, Vol. 61, No. 1, 01.2007, p. 62-67.

Research output: Contribution to journalArticle

Tsai, S. H. ; Chu, S. J. ; Chen, S. J. ; Fan, Y. M. ; Chang, W. C. ; Wu, C. P. ; Hsu, Chin Wang. / Acute renal infarction : A 10-year experience. In: International Journal of Clinical Practice. 2007 ; Vol. 61, No. 1. pp. 62-67.
@article{7a2bc84195cb41d193fb5167d3fa07df,
title = "Acute renal infarction: A 10-year experience",
abstract = "The diagnosis of acute renal infarction (ARI) is often delayed or unrecognised because of its non-specific presentation and the rarity of the disease. We evaluated the clinical presentations, laboratory findings, underlying medical conditions and treatment of 18 Chinese patients with ARI who presented to the emergency department (ED) of a tertiary teaching hospital from 1995 to 2004. We identified 14 non-trauma and four trauma patients with ARI. The mean duration from the onset of symptoms to the diagnosis of ARI was 1.9 days. The prevalence of concurrent events was 39{\%}. About 64.5{\%} of non-trauma patients had histories of atrial fibrillation, structural heart diseases or previous embolic events. The laboratory characteristics were neither specific nor sensitive for the diagnosis of ARI. Conservative treatment, local intra-arterial thrombolytic and i.v. thrombolytic therapies were provided in nine, five and two patients respectively. Decreased effective renal plasma flow in affected kidneys was found in three of three patients. Serum creatinine (Cr) was normal or elevated not more than 25{\%} of baseline in 16 cases. ARI may resemble many non-renal diseases; however, repeated evaluation and a high index of suspicion are required for early diagnosis. Concurrent injuries or thromboembolism in other foci should be noticed. Early contrast-enhanced computerized tomography scan should be considered for high-risk patients. Patients with ARI should be followed by functional studies rather than serum Cr level.",
author = "Tsai, {S. H.} and Chu, {S. J.} and Chen, {S. J.} and Fan, {Y. M.} and Chang, {W. C.} and Wu, {C. P.} and Hsu, {Chin Wang}",
year = "2007",
month = "1",
doi = "10.1111/j.1742-1241.2006.01136.x",
language = "English",
volume = "61",
pages = "62--67",
journal = "International Journal of Clinical Practice",
issn = "1368-5031",
publisher = "Wiley-Blackwell",
number = "1",

}

TY - JOUR

T1 - Acute renal infarction

T2 - A 10-year experience

AU - Tsai, S. H.

AU - Chu, S. J.

AU - Chen, S. J.

AU - Fan, Y. M.

AU - Chang, W. C.

AU - Wu, C. P.

AU - Hsu, Chin Wang

PY - 2007/1

Y1 - 2007/1

N2 - The diagnosis of acute renal infarction (ARI) is often delayed or unrecognised because of its non-specific presentation and the rarity of the disease. We evaluated the clinical presentations, laboratory findings, underlying medical conditions and treatment of 18 Chinese patients with ARI who presented to the emergency department (ED) of a tertiary teaching hospital from 1995 to 2004. We identified 14 non-trauma and four trauma patients with ARI. The mean duration from the onset of symptoms to the diagnosis of ARI was 1.9 days. The prevalence of concurrent events was 39%. About 64.5% of non-trauma patients had histories of atrial fibrillation, structural heart diseases or previous embolic events. The laboratory characteristics were neither specific nor sensitive for the diagnosis of ARI. Conservative treatment, local intra-arterial thrombolytic and i.v. thrombolytic therapies were provided in nine, five and two patients respectively. Decreased effective renal plasma flow in affected kidneys was found in three of three patients. Serum creatinine (Cr) was normal or elevated not more than 25% of baseline in 16 cases. ARI may resemble many non-renal diseases; however, repeated evaluation and a high index of suspicion are required for early diagnosis. Concurrent injuries or thromboembolism in other foci should be noticed. Early contrast-enhanced computerized tomography scan should be considered for high-risk patients. Patients with ARI should be followed by functional studies rather than serum Cr level.

AB - The diagnosis of acute renal infarction (ARI) is often delayed or unrecognised because of its non-specific presentation and the rarity of the disease. We evaluated the clinical presentations, laboratory findings, underlying medical conditions and treatment of 18 Chinese patients with ARI who presented to the emergency department (ED) of a tertiary teaching hospital from 1995 to 2004. We identified 14 non-trauma and four trauma patients with ARI. The mean duration from the onset of symptoms to the diagnosis of ARI was 1.9 days. The prevalence of concurrent events was 39%. About 64.5% of non-trauma patients had histories of atrial fibrillation, structural heart diseases or previous embolic events. The laboratory characteristics were neither specific nor sensitive for the diagnosis of ARI. Conservative treatment, local intra-arterial thrombolytic and i.v. thrombolytic therapies were provided in nine, five and two patients respectively. Decreased effective renal plasma flow in affected kidneys was found in three of three patients. Serum creatinine (Cr) was normal or elevated not more than 25% of baseline in 16 cases. ARI may resemble many non-renal diseases; however, repeated evaluation and a high index of suspicion are required for early diagnosis. Concurrent injuries or thromboembolism in other foci should be noticed. Early contrast-enhanced computerized tomography scan should be considered for high-risk patients. Patients with ARI should be followed by functional studies rather than serum Cr level.

UR - http://www.scopus.com/inward/record.url?scp=33847016455&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33847016455&partnerID=8YFLogxK

U2 - 10.1111/j.1742-1241.2006.01136.x

DO - 10.1111/j.1742-1241.2006.01136.x

M3 - Article

C2 - 17229180

AN - SCOPUS:33847016455

VL - 61

SP - 62

EP - 67

JO - International Journal of Clinical Practice

JF - International Journal of Clinical Practice

SN - 1368-5031

IS - 1

ER -