作者: S. Beltrán , J. Crespo , J. Kanter , B. Alemany , E. Gavela
DOI: 10.1016/J.TRANSPROCEED.2010.07.064
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摘要: Abstract Introduction Arterial hypertension is common among kidney transplant patients. It increases cardiovascular risk and a factor for progression of renal failure. Our objective was to perform ambulatory blood pressure monitoring (ABPM) in patients with office hypertension. Methods Patients were divided into 2 groups according their mean ABPM pressures treatment: well-controlled (blood [BP] 130/85 mmHg). A “nondipper pattern” defined as decrease 140/90 mmHg hypertensive documented by ABPM. Results performed 53 patients: 25 (47%) “well-controlled hypertensives” 28 (53%) “poorly controlled hypertensives.” Of the latter, 24 (85%) showed nondipper or raiser pattern only 4 revealing dipper patterns. We compared poorly hypertensives. The latter cohort older (54.4 ± 9.3 vs 45.5 13.8 years; P = .009), received grafts from donors (56.7 15.0 45.8 17 .02); had worse function measured serum creatinine (1.7 0.5 1.4 0.4 mg/dL, .03) Modification Diet Renal Disease (MDRD) formula (41.8 14.0 55.4 20.5 mL/min/1.73 m ; displayed more proteinuria (0.30 0.33 0.18 0.10 g/d, .08). Nondipper higher body mass index (27.1 21.7 kg/m .04). Among patients, 11 presented “white coat phenomenon.” Conclusion observed an important coat” effect, large prevalence uncontrolled nocturnal hypertension, small but incident “masked hypertension.” Factors related control patient age, donor function, induction use, proteinuria.