Hypertension in the pediatric kidney transplant recipient

Olga Charnaya, Asha Moudgil

Research output: Contribution to journalReview article

Abstract

Hypertension after kidney transplant is a frequent occurrence in pediatric patients. It is a risk factor for graft loss and contributes to the significant burden of cardiovascular disease (CVD) in this population. The etiology of posttransplant hypertension is multifac-torial including donor factors, recipient factors, medications, and lifestyle factors similar to those prevalent in the general population. Ambulatory blood pressure monitoring has emerged as the most reliable method for measuring hypertension in pediatric transplant recipients, and many consider it to be essential in the care of these patients. Recent technological advances including measurement of carotid intima-media thickness, pulse wave velocity, and myocardial strain using specked echocardiography and cardiac magnetic resonance imaging have improved our ability to assess CVD burden. Since hypertension remains underrecognized and inadequately treated, an early diagnosis and an appropriate control should be the focus of therapy to help improve patient and graft survival.

Original languageEnglish (US)
Article number86
JournalFrontiers in Pediatrics
Volume5
DOIs
StatePublished - May 1 2017
Externally publishedYes

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Pediatrics
Hypertension
Kidney
Cardiovascular Diseases
Transplants
Carotid Intima-Media Thickness
Ambulatory Blood Pressure Monitoring
Pulse Wave Analysis
Aptitude
Graft Survival
Population
Echocardiography
Life Style
Early Diagnosis
Patient Care
Magnetic Resonance Imaging
Tissue Donors
Transplant Recipients
Therapeutics

Keywords

  • Ambulatory blood pressure monitoring
  • Antihypertensive drugs
  • Carotid intima- media thickness
  • Hypertension
  • Kidney transplant
  • Pediatric
  • Pulse wave velocity

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Hypertension in the pediatric kidney transplant recipient. / Charnaya, Olga; Moudgil, Asha.

In: Frontiers in Pediatrics, Vol. 5, 86, 01.05.2017.

Research output: Contribution to journalReview article

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