Relationship of renal transplantation to hypertension in end-stage renal failure
| Autor: | Butt Km, Gupta Sk, Kountz Sl, Eli A. Friedman, T K Sreepada |
|---|---|
| Rok vydání: | 1978 |
| Předmět: |
Adult
Male medicine.medical_specialty Urology Blood Pressure Renal Artery Obstruction Renal Veins chemistry.chemical_compound Postoperative Complications Prednisone Renin–angiotensin system Renin Internal Medicine medicine Humans Transplantation Homologous Child Kidney transplantation Creatinine Maintenance dose business.industry medicine.disease Kidney Transplantation Surgery Transplantation Blood pressure chemistry Hypertension Kidney Failure Chronic Female business medicine.drug Bilateral Nephrectomy |
| Zdroj: | Archives of internal medicine. 138(8) |
| ISSN: | 0003-9926 |
| Popis: | The relationship of renal transplantation to new onset or persistence of previously established hypertension was analyzed in 164 transplant recipients in whom the renal allograft functioned for six months or longer. Of the 164, thirty-seven (23%) had normal blood pressure and 127 (77%) were hypertensive prior to transplantation. Following transplantation 83 patients (51%) were normotensive; high blood pressure was found in 81 (49%). Posttransplant hypertension could not be correlated with the recipient's original renal disease, age, sex, renal donor source, donor age, or maintenance dose of prednisone. More normotensive paients had undergone prior binephrectomy when compared with the hypertensive group (P less than .05). Mean serum creatinine levels was higher (2.0 mg/dl) in hypertensives than in normotensives (1.54 mg/dl) (P greater than .05). Selective renal veins' renin measurements in patients with severe hypertension were not helpful in predicting the beneficial effects of either bilateral nephrectomy or surgical correction of transplant renal artery stenosis. |
| Databáze: | OpenAIRE |
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