{"id":51426,"date":"2023-12-20T07:43:07","date_gmt":"2023-12-20T12:43:07","guid":{"rendered":"https:\/\/hypertension.ca\/?page_id=51426"},"modified":"2023-12-20T07:48:02","modified_gmt":"2023-12-20T12:48:02","slug":"hypertension-with-renovascular-disease","status":"publish","type":"page","link":"https:\/\/hypertension.idlwebclients.com\/fr\/lignes-directrices\/prevention-et-traitement\/hypertension-with-renovascular-disease\/","title":{"rendered":"Traitement de l&rsquo;hypertension en association avec une maladie r\u00e9novasculaire"},"content":{"rendered":"<div id=\"modal-ready\"><section class=\"l-section wpb_row us_custom_5c31ec89 event-banner-section height_medium width_full\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner us_custom_461a6918\"><div class=\"wpb_wrapper\"><div class=\"w-image img-w-100 align_center\"><div class=\"w-image-h\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1440\" height=\"252\" src=\"https:\/\/hypertension.idlwebclients.com\/wp-content\/uploads\/2023\/04\/HC-Guidelines-Credits-Page.jpg\" class=\"attachment-full size-full\" alt=\"\" srcset=\"https:\/\/hypertension.idlwebclients.com\/wp-content\/uploads\/2023\/04\/HC-Guidelines-Credits-Page.jpg 1440w, https:\/\/hypertension.idlwebclients.com\/wp-content\/uploads\/2023\/04\/HC-Guidelines-Credits-Page-300x53.jpg 300w, https:\/\/hypertension.idlwebclients.com\/wp-content\/uploads\/2023\/04\/HC-Guidelines-Credits-Page-1024x179.jpg 1024w, https:\/\/hypertension.idlwebclients.com\/wp-content\/uploads\/2023\/04\/HC-Guidelines-Credits-Page-200x35.jpg 200w, https:\/\/hypertension.idlwebclients.com\/wp-content\/uploads\/2023\/04\/HC-Guidelines-Credits-Page-600x105.jpg 600w, https:\/\/hypertension.idlwebclients.com\/wp-content\/uploads\/2023\/04\/HC-Guidelines-Credits-Page-1000x175.jpg 1000w, https:\/\/hypertension.idlwebclients.com\/wp-content\/uploads\/2023\/04\/HC-Guidelines-Credits-Page-500x88.jpg 500w, https:\/\/hypertension.idlwebclients.com\/wp-content\/uploads\/2023\/04\/HC-Guidelines-Credits-Page-700x123.jpg 700w\" sizes=\"(max-width: 1440px) 100vw, 1440px\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_medium\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><h1 class=\"w-post-elm post_title us_custom_83a03b96 title-underline small-underline has_text_color entry-title color_link_inherit\">Traitement de l&rsquo;hypertension en association avec une maladie r\u00e9novasculaire<\/h1><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row us_custom_887a049b height_medium\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column sub-title\"><div class=\"wpb_wrapper\"><h2>Nouvelles recommandations pour 2020<\/h2>\n<\/div><\/div>[vc_empty_space height=\u00a0\u00bb20px\u00a0\u00bb]<div class=\"wpb_text_column us_custom_50cc7d67\"><div class=\"wpb_wrapper\"><ul>\n<li>Les patients souffrant d&rsquo;hypertension attribuable \u00e0 une st\u00e9nose ath\u00e9roscl\u00e9reuse de l&rsquo;art\u00e8re r\u00e9nale doivent \u00eatre principalement pris en charge m\u00e9dicalement, car l&rsquo;angioplastie r\u00e9nale et la pose d&rsquo;un stent n&rsquo;offrent aucun avantage par rapport \u00e0 un traitement m\u00e9dical optimal seul (grade B).<\/li>\n<li>L&rsquo;angioplastie de l&rsquo;art\u00e8re r\u00e9nale et la pose d&rsquo;un stent en cas de st\u00e9nose ath\u00e9roscl\u00e9rotique h\u00e9modynamiquement significative de l&rsquo;art\u00e8re r\u00e9nale peuvent \u00eatre envisag\u00e9es chez les patients pr\u00e9sentant l&rsquo;une des caract\u00e9ristiques suivantes (grade D ; recommandation r\u00e9vis\u00e9e) :\n<ol>\n<li>Hypertension non contr\u00f4l\u00e9e r\u00e9sistant \u00e0 une pharmacoth\u00e9rapie maximalement tol\u00e9r\u00e9e,<\/li>\n<li>Perte progressive de la fonction r\u00e9nale,<\/li>\n<li>\u0152d\u00e8me pulmonaire aigu.<\/li>\n<\/ol>\n<\/li>\n<li>Les patients dont la fi\u00e8vre aphteuse r\u00e9nale est confirm\u00e9e doivent \u00eatre orient\u00e9s vers un sp\u00e9cialiste de l&rsquo;hypertension (grade D).<\/li>\n<li>L&rsquo;angioplastie de l&rsquo;art\u00e8re r\u00e9nale sans pose de stent est recommand\u00e9e pour le traitement des st\u00e9noses de l&rsquo;art\u00e8re r\u00e9nale li\u00e9es \u00e0 la fi\u00e8vre aphteuse. La pose d&rsquo;une endoproth\u00e8se n&rsquo;est pas recommand\u00e9e, sauf si elle est n\u00e9cessaire en raison d&rsquo;une dissection p\u00e9riproc\u00e9durale. La revascularisation chirurgicale doit \u00eatre envisag\u00e9e en cas de l\u00e9sions complexes ne se pr\u00eatant pas \u00e0 l&rsquo;angioplastie, de st\u00e9nose associ\u00e9e \u00e0 un an\u00e9vrisme complexe et de rest\u00e9nose malgr\u00e9 deux tentatives d&rsquo;angioplastie infructueuses (grade D).<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n<\/div>","protected":false},"excerpt":{"rendered":"Traitement de l&rsquo;hypertension en association avec une maladie r\u00e9novasculaireNouvelles recommandations pour 2020 [vc_empty_space height=\"20px\"] Les patients souffrant d&rsquo;hypertension attribuable \u00e0 une st\u00e9nose ath\u00e9roscl\u00e9reuse de l&rsquo;art\u00e8re r\u00e9nale doivent \u00eatre principalement pris en charge m\u00e9dicalement, car l&rsquo;angioplastie r\u00e9nale et la pose d&rsquo;un stent n&rsquo;offrent aucun avantage par rapport \u00e0 un traitement m\u00e9dical optimal seul (grade B). L&rsquo;angioplastie...","protected":false},"author":4209,"featured_media":0,"parent":50665,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-51426","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/hypertension.idlwebclients.com\/fr\/wp-json\/wp\/v2\/pages\/51426","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hypertension.idlwebclients.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hypertension.idlwebclients.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hypertension.idlwebclients.com\/fr\/wp-json\/wp\/v2\/users\/4209"}],"replies":[{"embeddable":true,"href":"https:\/\/hypertension.idlwebclients.com\/fr\/wp-json\/wp\/v2\/comments?post=51426"}],"version-history":[{"count":3,"href":"https:\/\/hypertension.idlwebclients.com\/fr\/wp-json\/wp\/v2\/pages\/51426\/revisions"}],"predecessor-version":[{"id":51430,"href":"https:\/\/hypertension.idlwebclients.com\/fr\/wp-json\/wp\/v2\/pages\/51426\/revisions\/51430"}],"up":[{"embeddable":true,"href":"https:\/\/hypertension.idlwebclients.com\/fr\/wp-json\/wp\/v2\/pages\/50665"}],"wp:attachment":[{"href":"https:\/\/hypertension.idlwebclients.com\/fr\/wp-json\/wp\/v2\/media?parent=51426"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}