Abstract P170: Hypertensive Pattern After Kidney Transplantation
| Autor: | Ekamol Tantisattamo, Possawat Vutthikraivit, Haritha Mopuru |
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| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Hypertension. 70 |
| ISSN: | 1524-4563 0194-911X |
| Popis: | Background: The patterns and factors contributing to post-transplant hypertension are unknown. Methods: Seventy kidney transplant recipients enrolled during a 10-month period were divided into deceased donor renal transplant (DDRT) or living donor renal transplant (LDRT) groups. Risk of development for HTN (SBP ≥140 or DBP ≥90 mmHg) between these 2 groups were compared. Results: There was 50 patients (71.4%) in a DDRT group. Mean age±SEM of the DDRT and LRRT were 52.8±1.7 and 52.3±2.7 years, respectively (p=0.872). Mean pre-transplant SBP and DBP were not significantly different between both groups. DDRT group was at greater risk to develop post-transplant systolic HTN than the LRRT group but not statistically significant (HR 1.145, CI 0.616 - 2.130, p=0.668; Figure 1). However, the risk to develop diastolic HTN was significantly lower in DDRT than LRRT groups (HR 0.506, CI 0.265 - 0.965, p=0.039). The risk of developing post-transplant diastolic HTN were not modified by age ( Conclusion: DRT recipients are at higher risk of developing systolic HTN but lower risk for diastolic HTN in DDRT recipients. This pattern of post-transplant HTN is similar to non-transplant elderly patients, whose pulse pressures are widened. Since there was no difference in mean age between DDRT and LRRT groups, underlying process apart from age may affect post-transplant HTN in DDRT and subsequently poorer renal allograft survival in DDRT than that of LRRT. |
| Databáze: | OpenAIRE |
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