Document Detail


Clinical documentation of end-stage renal disease due to hypertension.
MedLine Citation:
PMID:  8172207     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hypertensive end-stage renal disease (ESRD) purportedly accounts for 25% of new ESRD patients each year in the United States, but remains poorly understood. Clinical features include normal renal function at diagnosis of hypertension, family history of hypertension, left ventricular hypertrophy, and minimal proteinuria. We evaluated clinical and historic data documenting the diagnosis of hypertensive ESRD in 43 patients with ESRD attributed to hypertension who were referred to our center for renal transplantation. Hypertensive ESRD patients were more likely to be black patients with left ventricular hypertrophy compared with our overall population. Few of the hypertensive ESRD patients had undergone kidney biopsy, none of whom had classic features of benign nephrosclerosis. Less than 5% of patients had hypertension documented at any time with normal renal function. Based on our review, it is clearly possible that the number of patients reaching dialysis and transplantation with renal failure attributed to hypertensive ESRD may be overestimated.
Authors:
S D Schlessinger; M R Tankersley; J J Curtis
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of kidney diseases : the official journal of the National Kidney Foundation     Volume:  23     ISSN:  0272-6386     ISO Abbreviation:  Am. J. Kidney Dis.     Publication Date:  1994 May 
Date Detail:
Created Date:  1994-05-27     Completed Date:  1994-05-27     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8110075     Medline TA:  Am J Kidney Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  655-60     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of Alabama at Birmingham.
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MeSH Terms
Descriptor/Qualifier:
Adult
African Americans / statistics & numerical data
European Continental Ancestry Group / statistics & numerical data
Female
Humans
Hypertension / complications*
Hypertrophy, Left Ventricular / complications
Kidney Failure, Chronic / ethnology,  etiology*,  pathology
Male
Medical Records
Middle Aged
United States / epidemiology
Grant Support
ID/Acronym/Agency:
DK-92-11/DK/NIDDK NIH HHS; RR-00032/RR/NCRR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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