1. Meal Ingestion and Hemodynamic Interactions Regarding Renal Blood Flow on Duplex Sonography: Potential Diagnostic Implications
- Author
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Junichi Otaki, Shigeki Hashimoto, Masayo Seki, Tomonori Kishino, Keiichiro Harashima, Naoya Fukuta, Hiroaki Ohnishi, and Takashi Watanabe
- Subjects
Adult ,Male ,medicine.medical_specialty ,Acoustics and Ultrasonics ,Biophysics ,Hemodynamics ,030204 cardiovascular system & hematology ,Renal artery stenosis ,Sensitivity and Specificity ,Renal Circulation ,Eating ,Young Adult ,03 medical and health sciences ,Renal Artery ,0302 clinical medicine ,Reference Values ,medicine.artery ,Internal medicine ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Renal artery ,Meals ,Ultrasonography, Doppler, Duplex ,Meal ,Radiological and Ultrasound Technology ,business.industry ,digestive, oral, and skin physiology ,030229 sport sciences ,Blood flow ,Postprandial Period ,medicine.disease ,Meal ingestion ,Renal blood flow ,Cardiology ,Splanchnic ,business - Abstract
Splanchnic blood flow changes dramatically after meal ingestion. The present study evaluated physiologic interactions between meal ingestion and hemodynamics with respect to renal blood flow on duplex sonography, assessing the possible influence on Doppler parameters used as diagnostic criteria for renal artery stenosis. Subjects comprised 26 healthy young men (mean age: 22 ± 2 y). Sonographic measurements were made shortly after breakfast and every 1 h thereafter and were compared with values measured before the meal. Peak systolic velocity in the renal artery was elevated post-prandially, peaking at 1 h (90 ± 12 cm/s), compared with pre-prandially (73 ± 10 cm/s, p < 0.01). Similarly, acceleration time at the intra-renal segmental artery shortened to a minimum at 1 h (45 ± 5 ms) compared with baseline (51 ± 6 ms, p < 0.01). The present study indicates that renal blood flow is altered for a few hours after meal ingestion. Attention should be paid to the interpretation of data measured after meals on duplex sonography for diagnosis of renal artery stenosis.
- Published
- 2018
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