Frank H, Vogt-Ladner G, Neumayer HH, Schmieder RE
Determinants of left ventricular structure after kidney
transplantation
12th Annual ASH Meeting
Am J Hypertens
(Apr) 10:43A 1997
Introduction. Hypertension and LV hypertrophy are very common in renal
transplant recipients.
What was done. A cross-sectional study at 6 months after renal
transplantation, inluding 24-hour BP and echocardiography. Higher LV
mass was most strongly correlated with 24 hour BP load, followed by body
mass index, serum creatinine and a patent AV connection.
Comments:This is an interesting study, and would tend to support much
previous work in dialysis patients. I would be happier to see
correlations with mass index to body mass index or height, because LV
mass, serum creatinine and BP might all be expected to be higher in
bigger subjects which confounds interpretation. Likewise, it would be
nice to see the associations of LV mass index in a multivariate model,
because high creatinine, high BP, and a decision not to close an AV
graft or fistula might all be closely correlated to each other.
(Robert Foley, M.D., (University of Newfoundland, St. John's,
Canada)
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12th Annual ASH Meeting
H: Pathophysiology :
Heart in hypertension
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Transplantation