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Increased renal resistive index in type 2 diabetes: Clinical relevance, mechanisms and future directions

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dc.creator Afsar, Barış
dc.creator Elsurer, Rengin
dc.date 2017-09-30T21:00:00Z
dc.date.accessioned 2020-10-06T09:18:20Z
dc.date.available 2020-10-06T09:18:20Z
dc.identifier 062195b2-bea4-449b-82f4-3de93fe6e5b7
dc.identifier 10.1016/j.dsx.2016.08.019
dc.identifier https://avesis.sdu.edu.tr/publication/details/062195b2-bea4-449b-82f4-3de93fe6e5b7/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/52431
dc.description Type 2 diabetes is a global health challenge. In type 2 diabetes both microvascular (nephropathy, retinopathy, neuropathy) and macrovascular complications arise. In kidney, renal pathological changes leading to diabetic nephropathy are mainly secondary to atherosclerosis of the intra and extra renal arteries together with microangiopathy of the glomerular capillaries, afferent arterioles and efferent arterioles. Renal resistive index (RRI) is defined as a ratio of the difference between maximum and minimum (end-diastolic) flow velocity to maximum flow velocity derived from the Doppler measurements of main renal and intrarenal (segmental/interlobar) arteries. Renal resistive index is tightly related to renal arteriolosclerosis, and represents an integrated index of arterial compliance, pulsatility and downstream microvascular impedance. In meantime, growing suggest that RRI has also been closely related with atherosclerosis. Most studies performed in type 2 diabetes showed RRI is increased in type 2 diabetes. In this review, we summarize the data regarding RRI with regard to performed studies, pathogenesis and prognosis, especially focusing on type 2 diabetes (T2D). We also review the data regarding the development of metabolic syndrome (MetS) and RRI. (C) 2016 Diabetes India. Published by Elsevier Ltd. All rights reserved.
dc.language eng
dc.rights info:eu-repo/semantics/closedAccess
dc.title Increased renal resistive index in type 2 diabetes: Clinical relevance, mechanisms and future directions
dc.type info:eu-repo/semantics/article


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