Left ventricular mass index and its relationship to ambulatory blood pressure and renal resistivity index in renal transplant recipients.

作者: S. Sezer , M.E. Uyar , T. Çolak , Z. Bal , E. Tutal

DOI: 10.1016/J.TRANSPROCEED.2013.01.105

关键词: Renal functionCreatinineRenal transplantLeft ventricular massInternal medicineAmbulatory blood pressureEssential hypertensionLeft ventricular hypertrophyBlood pressureCardiologyMedicine

摘要: Abstract Introduction and Aims Left ventricular hypertrophy (LVH) is frequently observed in patients with end-stage renal disease allograft recipients. It an independent, strong predictor of morbidity mortality. Renal resistive index (RRI) important determinant graft function transplant In essential hypertension, increased RRI associated reduced tubulointerstitial damage. this present study, we investigated the association ambulatory blood pressure monitoring parameters on left mass among Methods Charts 98 recipients echocardiography, monitoring, Doppler ultrasonography as well laboratory tests including serum creatinine, glomerular filtration rate, C-reactive protein (CRP) level at end post-transplantation year 1 were analyzed study. LVMI was calculated using Devereux formula echocardiographic findings. Results (LVMI) positively correlated mean systolic (SBP) ( r = 0.512; P .0001), nighttime SBP 0.312; .007), diastolic (DBP) 0.427; .005), (RRI; 0.290; .004), age 0.371; .001). Multiple logistic regression analysis revealed that maximum independent risk factors for .001, .035, .05, respectively). Conclusion High one main indicators cardiovascular Additionally, older age, high pressure, nondipper pattern are LVH.

参考文章(19)
J. L. Ochsner, Hector O. Ventura, C. J. Lavie, D. D. Stapleton, V. Valentino, F. W. Smart, F. H. Messerli, Cardiovascular adaptation to cyclosporine-induced hypertension. Journal of Human Hypertension. ,vol. 8, pp. 233- 237 ,(1994)
G. V. Ramesh Prasad, Ambulatory blood pressure monitoring in solid organ transplantation. Clinical Transplantation. ,vol. 26, pp. 185- 191 ,(2012) , 10.1111/J.1399-0012.2011.01569.X
Robert S. Fishel, Steven Eisenberg, Shaw-Yung Shai, Robert A. Redden, Kenneth E. Bernstein, Bradford C. Berk, Glucocorticoids induce angiotensin-converting enzyme expression in vascular smooth muscle. Hypertension. ,vol. 25, pp. 343- 349 ,(1995) , 10.1161/01.HYP.25.3.343
Antonio Mario Q. Marcondes, Jose Jayme G. De Lima, Dante Marcelo A. Giorgi, Marcelo Luis C. Vieira, Jose L. de Andrade, Luis Estevan Ianhez, Eduardo M. Krieger, Twenty-four hour blood pressure profile and left ventricular hypertrophy early after renal transplantation. Renal Failure. ,vol. 24, pp. 207- 213 ,(2002) , 10.1081/JDI-120004097
D. Montanaro, M. Gropuzzo, P. Tulissi, C. Vallone, G. Boscutti, R. Mioni, A. Risaliti, U. Baccarani, G.L. Adani, M. Sainz, D. Lorenzin, F. Bresadola, G. Mioni, Effects of successful renal transplantation on left ventricular mass. National Congress of the Italian Society for Organ Transplantation. ,vol. 37, pp. 2485- 2487 ,(2005) , 10.1016/J.TRANSPROCEED.2005.06.022
K Tsuda, H Iwahashi, Y Minatogawa, I Nishio, R Kido, Y Masuyama, Electron spin resonance studies of erythrocytes from spontaneously hypertensive rats and humans with essential hypertension. Hypertension. ,vol. 9, pp. 19- 24 ,(1987) , 10.1161/01.HYP.9.6_PT_2.III19
Jörg Radermacher, Michael Mengel, Sebastian Ellis, Stephan Stuht, Markus Hiss, Anke Schwarz, Ute Eisenberger, Michael Burg, Friedrich C. Luft, Wilfried Gwinner, Hermann Haller, The Renal Arterial Resistance Index and Renal Allograft Survival The New England Journal of Medicine. ,vol. 349, pp. 115- 124 ,(2003) , 10.1056/NEJMOA022602
Jos?? J.G. de Lima, Henry Abensur, Eduardo M. Krieger, F??lvio Pileggi, Arterial blood pressure and left ventricular hypertrophy in haemodialysis patients Journal of Hypertension. ,vol. 14, pp. 1019- 1024 ,(1996) , 10.1097/00004872-199608000-00013
PATRICK S. PARFREY, JOHN D. HARNETT, ROBERT N. FOLEY, GLORIA M. KENT, DAVID C. MURRAY, PAUL E. BARRE, RONALD D. GUTTMANN, Impact of renal transplantation on uremic cardiomyopathy Transplantation. ,vol. 60, pp. 908- 914 ,(1995) , 10.1097/00007890-199511000-00005