ArticleTransplantation2017
Ambulatory Blood Pressure, Left Ventricular Hypertrophy, and Allograft Function in Children and Young Adults After Kidney Transplantation.
Article in Transplantation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 60 citations in OpenAlex.
- A(nother) plea for better management of post-transplant cardiovascular morbidity.Pediatric nephrology (Berlin, Germany) · 2024Article
- Evaluation of the effect of kidney transplantation on left ventricular myocardial work by noninvasive pressure-strain loops.Frontiers in cardiovascular medicine · 2024Article
- The Effect of "Unclassified" Blood Pressure Phenotypes on Left Ventricular Hypertrophy.Turkish archives of pediatrics · 2024Article
- Masked Hypertension in Healthy Children and Adolescents: Who Should Be Screened?Current hypertension reports · 2023Review
- The significance of central blood pressure for cardiovascular target organ damage in children and adolescents after kidney transplantation.Pediatric nephrology (Berlin, Germany) · 2023Article
- Variation in paediatric 24-h ambulatory blood pressure monitoring interpretation by Canadian and UK physicians.Journal of human hypertension · 2023Article
- Office blood pressure versus ambulatory blood pressure measurement in childhood obesity.BMC pediatrics · 2023Article
- Echocardiogram screening in pediatric dialysis and transplantation.Pediatric nephrology (Berlin, Germany) · 2023Review
- Get to the heart of pediatric kidney transplant recipients: Evaluation of left- and right ventricular mechanics by three-dimensional echocardiography.Frontiers in cardiovascular medicine · 2023Article
- Hypertension in kidney transplant recipients.World journal of transplantation · 2022Review
- Mechanisms and management of drug-induced hyperkalemia in kidney transplant patients.Reviews in endocrine & metabolic disorders · 2021Review
- Pediatric Ambulatory Blood Pressure Classification: The Case for a Change.Hypertension (Dallas, Tex. : 1979) · 2021Review
- Should ACE inhibitors or calcium channel blockers be used for post-transplant hypertension?Pediatric nephrology (Berlin, Germany) · 2021Article
- Follow-Up of Blood Pressure, Arterial Stiffness, and GFR in Pediatric Kidney Transplant Recipients.Frontiers in medicine · 2021Article
- Management of dyslipidemia in pediatric renal transplant recipients.Pediatric nephrology (Berlin, Germany) · 2021Review
- Practical application of ABPM in the pediatric nephrology clinic.Pediatric nephrology (Berlin, Germany) · 2020Review
- The Improving Renal Outcomes Collaborative: Blood Pressure Measurement in Transplant Recipients.Pediatrics · 2020Article
- Hypertension after Kidney Transplantation: Clinical Significance and Therapeutical Aspects.Open access Macedonian journal of medical sciences · 2019Review
- Non-immunologic allograft loss in pediatric kidney transplant recipients.Pediatric nephrology (Berlin, Germany) · 2019Review
- Clinical value of ambulatory blood pressure in pediatric patients after renal transplantation.Pediatric nephrology (Berlin, Germany) · 2018Review
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundHypertension is a common complication and is an important risk factor for graft loss and adverse cardiovascular outcomes in pediatric kidney transplantation. Ambulatory blood pressure monitoring (ABPM) is the preferred method to characterize blood pressure status.
methodsWe conducted a retrospective review of a large cohort of children and young adults with kidney transplant to estimate the prevalence of abnormal ambulatory blood pressure (ABP), assess factors associated with abnormal ABP, and examine whether ambulatory hypertension is associated with worse allograft function and left ventricular hypertrophy (LVH).
resultsTwo hundred twenty-one patients had ABPM, and 142 patients had echocardiographic results available for analysis. One third of the patients had masked hypertension, 32% had LVH, and 38% had estimated glomerular filtration rate less than 60 mL/min per 1.73 m. African-American race/Hispanic ethnicity and requirement for more than 1 antihypertensive medication were independently associated with having masked hypertension. In a multivariate analysis, abnormal blood pressure (masked or sustained hypertension combined) was an independent predictor for LVH among patients not receiving antihypertensive treatment (P = 0.025). In a separate analysis, the use of antihypertensive medications was independently associated with worse allograft function (P = 0.002) although abnormal blood pressure was not a significant predictor.
conclusionsIn young kidney transplant recipients, elevated ABP is frequently unrecognized and undertreated. The high prevalence of abnormal ABP, including masked hypertension, and its association with LVH supports the case for routine ABPM and cardiac structure evaluation as the standard of care in these patients.
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