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. 1973 Jun;47(6):1297-305.
doi: 10.1161/01.cir.47.6.1297.

Variations in arterial blood pressure after kidney transplantation. Relation to renal function, plasma renin activity, and the dose of prednisone

Variations in arterial blood pressure after kidney transplantation. Relation to renal function, plasma renin activity, and the dose of prednisone

M M Popovtzer et al. Circulation. 1973 Jun.

Abstract

The course of hypertension within the first 2 months after kidney transplantation was correlated with renal function, plasma renin activity (PRA), and the daily maintenance dose of prednisone in 18 homograft recipients. During acute rejection blood pressure (BP) closely correlated with PRA. Patients with normal homograft function showed an increase in BP early after transplantation which in most returned to normal 3–8 weeks later. In the latter group no correlation could be found between the level of BP and PRA, however the BP correlated closely with the dose of prednisone. These observations suggest that during acute rejection the increase in BP may at least partly be mediated by a renal pressor mechanism, whereas with normal renal function the high dose of glucocorticoids may play an important role in the development of hypertension.

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Figures

Figure 1
Figure 1
The relationship between diastolic blood pressure and the maintenance dose of prednisone in patients with adequate kidney function.
Figure 2
Figure 2
Diastolic blood pressure and plasma renin activity in patients with adequate renal function.
Figure 3
Figure 3
The relationship between diastolic blood pressure and plasma renin activity in patients undergoing acute rejection.

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References

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