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Research Article

Relationship Between Renal Hemodynamics and Urinary Type IV Collagen in Patients with Essential Hypertension

, , , , , & show all
Pages 612-616 | Received 07 Feb 2012, Accepted 30 Mar 2012, Published online: 07 May 2012
 

Abstract

Urinary type IV collagen excretion (uT4C) in diabetic patients is higher than in normal subjects. In this study, we investigated the relationship between uT4C and renal hemodynamics in 42 patients with essential hypertension. The renal resistive index (RI) is calculated from blood flow velocities measured using pulsed-wave in interlobar arteries. There was a significant correlation between uT4C to creatinine ratio (uT4C/uCr) and age, hemoglobin A1c (HbA1c), and RI. A stepwise regression analysis showed that RI was independently associated with uT4C/uCr. These results indicated that uT4C may be a marker of renovascular stiffness due to glomerulosclerosis in patients with essential hypertension.

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