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Prevalence of arterial hypertension following kidney transplantation- a multifactorial analysis.

Z Włodarczyk, M Glyda, L Kościanska, J Kołodziejczyk, B Sulikowska, J Manitius

Ann Transplant 2003; 8(2): 43-46

ID: 142804


Arterial hypertension is one of the most important factors leading to chronicgraft nephropathy and causing cardiovascular complications following renal transplantation. Effectivecontrol of the blood pressure seems to be vital for satisfactory long-term graft and patient survival.The objective of the study was to evaluate possible factors associated with persistent or de novo hypertensionin patients following allogenic cadaveric kidney transplantation. 325 patients with minimum follow-upperiod of 6 months and only on cyclosporine-based immunosuppression were analyzed. Two groups of patientswere compared: group A included normotensive or "well controlled hypertension" patients while group Bconsisted of patients with uncontrolled hypertension. Results revealed that patients with ill-controlledor uncontrolled hypertension received kidneys from older donors, mean creatinine level within 6 monthspost-transplant was significantly higher and hypertension was associated with higher rate of urinarytract infections in this group.

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