According to recent statistics from the World Health Organization, around 68300 kidney transplants are performed every year worldwide. India is a hub for affordable kidney transplants and performs about 3000 kidney transplants in a year.
Survival of patient and transplant has improved tremendously. Despite this fact cardiovascular disease continues to be the most common cause of death and transplant loss after kidney transplant. A major risk factor for this is hypertension, i.e. high Blood Pressure (BP). Hypertension is almost ubiquitous in kidney transplant recipients. Hypertension negatively affects transplant and patient survival outcomes. Its best management requires careful analysis of causes and close monitoring of therapies.
Kidney Transplantation - Causes of Renal failure
Kidney transplantation is the transfer of a healthy kidney from one individual (donor) to another (recipient) through a specialized surgery.
Kidney transplantation is the transfer of a healthy kidney from one individual (donor) to another (recipient) through a specialized surgery.
Traditionally, BP measurements typically are performed in the office by a medical assistant, nurse, or physician. One of the studies revealed that the presence of the physician at the time of BP measurement caused BP to increase by 3-4 mm Hg. Hence, alternatives to office BP readings include self BP measurement (SBPM) at home, and ambulatory BP monitoring (ABPM) are now recommended. ABPM is regarded as a more sensitive method for diagnosing hypertension than sole reliance on office BP in kidney transplant recipients.
Though there are no sufficient clinical evidences, lifestyle modifications, such as weight loss, increasing regular exercise, and sodium restriction are advised to transplant patients. Antihypertensive therapy in these patients is beneficial as it helps in preserving the functions of kidney and decreasing the risk of heart diseases. A universal algorithm for the management of posttransplant hypertension is not available at present. A recent publication in the American Journal of Kidney Disease (AJKD) reviewed anti-hypertensive medications for patients after kidney transplantation.
Top 10 Alarming Facts on Kidney Disease
The incidence of kidney failure (or chronic kidney disease) has doubled over the last 15 years. Here are some alarming facts on kidney disease.
The incidence of kidney failure (or chronic kidney disease) has doubled over the last 15 years. Here are some alarming facts on kidney disease.
Proper management of hypertension is a life saver. It helps to attain better transplant and patient survival outcomes. Therapy should be goal oriented and care should be highly customised, i.e. tailored to the need of the individual.
Advertisement
High Blood Pressure | Hypertension - Causes, Symptoms, Diagnosis & Treatment
High blood pressure or hypertension is a chronic condition, which usually lasts a lifetime once it is developed.
High blood pressure or hypertension is a chronic condition, which usually lasts a lifetime once it is developed.
Source-Medindia
Quiz on Hypertension
It stealthily creeps in and catches people unawares. Find out more about this ‘silent killer’ by participating in the quiz.
It stealthily creeps in and catches people unawares. Find out more about this ‘silent killer’ by participating in the quiz.
