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Control of Blood Pressure in Liver Transplant Recipients.
MedLine Citation:
PMID:  22411562     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Increased blood pressure (BP) is common after liver transplantation. However, there is scarce information on its control. METHODS: In this prospective, cross-sectional, multicenter study, we determined BP according to the recommended international standards in 921 liver transplant patients during one routine outpatient visit to assess their grade of control of BP. At the time of the study, 490 patients had been previously diagnosed with arterial hypertension and were receiving antihypertensive treatment, and 431 were not previously diagnosed as hypertensive. RESULTS: In the hypertensive group, arterial hypertension was uncontrolled (BP >140/90 mm Hg [>130/80 in diabetics]) in 158 (32%) patients and controlled in 332 (68%) patients. In a multivariate analysis, only diabetes was identified as a significant predictor of uncontrolled hypertension. Among patients not previously diagnosed as hypertensive, BP was increased in 106 (25%) and normal in 325 (75%). On multivariate analysis, the only variable independently associated with increased BP in this group was metabolic syndrome. CONCLUSION: BP is not adequately controlled in a noticeable percentage of liver transplant patients, especially in subjects with diabetes or metabolic syndrome.
Authors:
Belinda Martínez-Saldivar; Jhon Prieto; Marina Berenguer; Manuel de la Mata; José-Antonio Pons; Trinidad Serrano; Lourdes Rafael-Valdivia; Victoria Aguilera; Pilar Barrera; Pascual Parrilla; Sara Lorente; Angel Rubin; Enrique Fraga; Antoni Rimola
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-9
Journal Detail:
Title:  Transplantation     Volume:  -     ISSN:  1534-6080     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-3-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0132144     Medline TA:  Transplantation     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1 Hospital Clinic, IDIBAPS, Barcelona, CIBEREHD, Spain. 2 Hospital La Fe, Valencia, CIBEREHD, Spain. 3 Hospital Universitario Reina Sofía, Córdoba, CIBEREHD, Spain. 4 Hospital Universitario Virgen de la Arrixaca, Murcia, CIBEREHD, Spain. 5 Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
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