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<http://worldcat.org/entity/work/id/53382606> <http://schema.org/name> "Proteinuria em pacientes com insuficiencia cardiaca congestiva: papel da hipertensao arterial"@pt .
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<http://worldcat.org/entity/work/id/53382606> <http://schema.org/description> "Objetivo - Avaliar a importancia da hipertensao arterial (HA), quando fator etiologico da insuficiencia cardiaca congestiva (ICC), no desenvolvimento de proteinuria em pacientes com ICC descompensada. Metodos - Foram estudados 30 pacientes com ICC descompensada, analisando a presenca da proteinuria acima de 150 mg em amostra urinaria de 24h antes e apos o tratamento. Os pacientes foram divididos em dois grupos conforme a presenca de HA como causa da ICC: grupo A, 18 pacientes com miocardiopatia hipertensiva e grupo B, 12 pacientes com miocardiopatia dilatada idiopatica ou chagasica sem historia previa de HA. Resultados - Nao houve diferencas emtre os grupos com relacao a idade, sexo, funcao renal ou tempo da ICC. No periodo pre-tratamento, 88// dos pacientes do grupo A apresentavam proteinuria (media 1580mg/24h) enquanto que apenas 25// dos pacientes do grupo B (media 320mg/24h) a apresentavam (p&lt;0,01). Apos o tratamento da ICC, 38// dos pacientes do grupo A persistiram com proteinuria com media de 1128 mg/24h, enquanto nenhum paciente do grupo B manteve-se com proteinuria. Apos 6 meses de evolucao, dois pacientes persistiram com proteinuria, um dos quais, submetido a biopsia renal, revelou nefrosclerose benigna. Conclusao - Em pacientes com ICC descompensada, nao secundaria a HA, a proteinuria e discreta, totalmente revesivel com o tratamento que por sua vez melhora a funcao renal. Nos pacientes onde a ICC e secundaria a HA, a proteinuria e mais frequente, tem maior gravidade e pode nao ser reversivel com o tratamento, por vezes elevando-se, com piora da funcao renal, o que indicaria lesao secundaria a HA (AU)."@pt .
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