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Nefropatía isquémica: patogénesis y tratamiento
Ischemic nephropathy ¿ pathogenesis and treatment
Marcin Adamczaka, Andrzej Wieceka
a Department of Nephrology, Endocrinology and Metabolic Diseases, Medical University of Silesia, Katowice, Poland,
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        "resumen" => "<p class="elsevierStylePara">En esta revisi&#243;n nos gustar&#237;a realizar un resumen del conocimiento actual sobre la patog&#233;nesis y el tratamiento de la nefropat&#237;a isqu&#233;mica&#46; Los datos epidemiol&#243;gicos sugieren que la prevalencia de la nefropat&#237;a isqu&#233;mica aumenta&#44; especialmente en los individuos de mayor edad&#46; La patog&#233;nesis de esta enfermedad es m&#225;s compleja que el mero estrechamiento de la arteria renal a causa de la ateroesclerosis&#46; El sistema renina angiotensina&#44; los factores de crecimiento&#44; las diferentes citoquinas y las quimiocinas pueden estar implicados en la patog&#233;nesis de la nefropat&#237;a isqu&#233;mica&#46; Espec&#237;ficamente&#44; los criterios diagn&#243;sticos de utilidad cl&#237;nica de la nefropat&#237;a isqu&#233;mica a&#250;n est&#225;n por determinar&#46; La gesti&#243;n m&#233;dica acordada de forma conjunta sigue siendo por el momento la principal opci&#243;n terap&#233;utica para la mayor&#237;a de los pacientes con esta patolog&#237;a y hoy en d&#237;a&#44; la revascularizaci&#243;n est&#225; indicada &#250;nicamente en pacientes seleccionados&#46;</p>"
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