By Ajay K. Singh, Rajiv Agarwal
This consultant offers a finished overview of the entire spectrum of high blood pressure in continual kidney sickness (CKD). Targeted in the direction of the busy practitioner, the point of interest of this quantity is on a number of treatments and the way to decrease blood strain via way of life adjustments. Specialist sufferer populations and high blood pressure and factors of high blood pressure also are coated intimately. Clinically-focused and authoritative, this source deals a rationalized method of diagnosing and treating high blood pressure in CKD.
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Additional resources for Core Concepts in Hypertension in Kidney Disease
Hypertension. 2005;45(1):142–61. 11. Clark CE, Aboyans V. Interarm blood pressure difference: more than an epiphenomenon. Nephrol Dial Transplant. 2015;30(5):695–7. 12. Mehlsen J, Wiinberg N. Interarm difference in blood pressure: reproducibility and association with peripheral vascular disease. Int J Vas Med. 2014;2014:841542. 13. Judd E, Calhoun DA. Hypertension and orthostatic hypotension in older patients. J Hypertens. 2012;30(1):38–9. 14. Shibao C, Lipsitz LA, Biaggioni I, American Society of Hypertension Writing Group.
1987;31(6):1383–90. 77. Talseth T, Fauchald P, Skrede S, Djøseland O, Berg KJ, Stenstrøm J, et al. Long-term blood pressure and renal function in kidney donors. Kidney Int. 1986;29(5):1072–6. 78. Ommen ES, Schröppel B, Kim JY, Gaspard G, Akalin E, de Boccardo G, et al. Routine use of ambulatory blood pressure monitoring in potential living kidney donors. Clin J Am Soc Nephrol. 2007;2(5):1030–6. 79. DeLoach SS, Meyers KE, Townsend RR. Living donor kidney donation: another form of white coat effect.
This increased incidence of hypertension is in part a consequence of the immunosuppression regimen. In particular, corticosteroids and the calcineurin inhibitors (cyclosporine more so than tacrolimus) are associated with hypertension . Furthermore, and consistent with native kidney disease, hypertension can be both a cause and a consequence of allograft renal insufﬁciency. A study addressing BP control by ABPM and ofﬁce BP in 868 kidney transplant recipients found that only 34 % of participants had controlled ambulatory BP .
Core Concepts in Hypertension in Kidney Disease by Ajay K. Singh, Rajiv Agarwal