Hypertension and improved left ventricular mass index in children after renal transplantation

被引:8
作者
Ramoglu, Mehmet G. [1 ]
Ucar, Tayfun [1 ]
Yilmaz, Songul [2 ]
Ozcakar, Z. Birsin [2 ]
Kurt-Sukur, Eda Didem [2 ]
Tutar, Ercan [1 ]
Yalcinkaya, Fatos [2 ]
Atalay, Semra [1 ]
机构
[1] Ankara Univ, Med Sch, Dept Pediat Cardiol, Ankara, Turkey
[2] Ankara Univ, Med Sch, Dept Pediat Nephrol, Ankara, Turkey
关键词
hypertension; left ventricular hypertrophy; left ventricular mass index; pediatric; renal transplantation; AMBULATORY BLOOD-PRESSURE; YOUNG-ADULTS; PEDIATRIC DIALYSIS; CARDIAC-FUNCTION; KIDNEY-DISEASE; ADOLESCENTS; HYPERTROPHY; PREDICTORS; ABNORMALITIES; GEOMETRY;
D O I
10.1111/petr.13066
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
This study was conducted to evaluate the changes in BP and LVH after the transplantation and to evaluate the effect of BP changes in LVH. Forty-three pediatric renal transplant patients, with a mean age of 16.99 +/- 3.88years, were enrolled in this study. Twenty-three (53.5%) of the patients were male. Medical records for pretransplantation period (closest to the time of transplantation) and for post-transplantation period (9-12months after transplantation) were reviewed. All the patients had BP measurements and echocardiographic evaluation in pre- and post-transplantation period. Hypertension was defined as an average systolic and/or diastolic BP that is 95th percentile for sex, age, and height. Although the number of patients with hypertension increased from 30 (69.76%) to 35 (81.4%), the number of patients with LVH decreased from 19 (44.1%) to 9 (20.9%) after the transplantation. Although the only significant difference in BP measurements was between the mean Z scores of 24hour and nighttime mean DBP before and after the transplantation; the mean LVMI, and the prevalence of LVH was significantly lower after the transplantation. There was no significant correlation between the LVMI and the BP measurements. Even though hypertension may persist, there is significant improvement in LVH after renal transplantation.
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页数:8
相关论文
共 32 条
[21]   Severe left ventricular hypertrophy in pediatric dialysis: prevalence and predictors [J].
Mitsnefes, MM ;
Daniels, SR ;
Schwartz, SM ;
Meyer, RA ;
Khoury, P ;
Strife, CF .
PEDIATRIC NEPHROLOGY, 2000, 14 (10-11) :898-902
[22]   Abnormal cardiac function in children after renal transplantation [J].
Mitsnefes, MM ;
Kimball, TR ;
Border, WL ;
Witt, SA ;
Glascock, BJ ;
Khoury, PR ;
Daniels, SR .
AMERICAN JOURNAL OF KIDNEY DISEASES, 2004, 43 (04) :721-726
[23]   Changes in left ventricular mass index in children and adolescents after renal transplantation [J].
Mitsnefes, MM ;
Schwartz, SM ;
Daniels, SR ;
Kimball, TR ;
Khoury, P ;
Strife, CF .
PEDIATRIC TRANSPLANTATION, 2001, 5 (04) :279-284
[24]   Changes in left ventricular mass in children and adolescents during chronic dialysis [J].
Mitsnefes, MM ;
Daniels, SR ;
Schwartz, SM ;
Khoury, P ;
Strife, CF .
PEDIATRIC NEPHROLOGY, 2001, 16 (04) :318-323
[25]  
Namazi MH, 2010, UROL J, V7, P105
[26]  
Natl High Blood Pressure Educ Prog, 2004, PEDIATRICS, V114, P555
[27]   Cardiovascular mortality in children and young adults with end-stage kidney disease [J].
Parekh, RS ;
Carroll, CE ;
Wolfe, RA ;
Port, FK .
JOURNAL OF PEDIATRICS, 2002, 141 (02) :191-197
[28]   Regression equations for calculation of z scores of cardiac structures in a large cohort of healthy infants, children, and adolescents:: An echocardiographic study [J].
Pettersen, Michael D. ;
Du, Wei ;
Skeens, Mary Ellen ;
Humes, Richard A. .
JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2008, 21 (08) :922-934
[29]   The effect of kidney transplant on cardiac function:: An echocardiographic perspective [J].
Sahagún-Sánchez, G ;
Espinola-Zavaleta, N ;
Lafragua-Contreras, M ;
Chávez, PY ;
Gómez-Núñez, N ;
Keirns, C ;
Romero-Cardenas, A ;
Pérez-Grovas, H ;
Acosta, JH ;
Vargas-Barrón, J .
ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, 2001, 18 (06) :457-462
[30]   Ambulatory blood pressure and left ventricular mass index in hypertensive children [J].
Sorof, JM ;
Cardwell, G ;
Franco, K ;
Portman, RJ .
HYPERTENSION, 2002, 39 (04) :903-908