Nephrol Dial Transplant (2001) 16: 110-113
© 2001 European Renal Association-European Dialysis and Transplant Association
Ambulatory blood pressure after renal transplantation
Servicio de Nefrología 1, Hospital Central de Asturias, C/Celestino Villamil s/n, 33006 Oviedo, Spain
Renal transplantation has been a usual medical practice in developed countries for several decades. A large number of studies report the excellent results obtained with such a practice. The survival of the graft, although able to be improved, is excellent and gives a great deal of hope to patients with renal insufficiency. The high level of investigation into immunosuppressor drugs offers, almost continuously, more efficient and better tolerated products. Paradoxically, the usual problems of patients with a renal transplant are not immunological but cardiovascular. Elevated serum cholesterol levels, obesity, diabetes and other cardiovascular risk factors (CVRFs) are usual in these patients, arterial hypertension (AHT) being the most frequent. Nephrologists are increasingly using ambulatory blood pressure monitoring (ABPM) on a daily basis. In the last 10 years, we have obtained highly valuable and interesting results with this technique which have allowed us to study and understand with greater precision the relationship of AHT to the kidney. Here we analyse and review the most relevant aspects of ABPM in the different stages of kidney disease, with special emphasis on renal transplantation.
Keywords: ambulatory blood pressure monitoring; cardiovascular risk; hypertension; non-dipper pattern; renal transplantation
Correspondence and offprint requests to: Dr Francisco Fernández-Vega, Servicio de Nefrología 1, Hospital Central de Asturias, C/Celestino Villamil s/n, 33006 Oviedo, Spain.