Left ventricular mass and heart sympathetic activity after renal transplantation in children and young adults View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2006-08-15

AUTHORS

Juan Manuel Guízar-Mendoza, Norma Amador-Licona, Efrén Edgard Lozada, Leticia Rodriguez, María Gutiérrez-Navarro, Luis Antonio Dubey-Ortega, José Trejo-Bellido, José de Jesús Encarnación, María De la Cruz Ruiz-Jaramillo

ABSTRACT

Recent studies considered that an increase in sympathetic activity (SA) may be responsible for left ventricular hypertrophy (LVH). Before and after renal transplantation (RT), we evaluated changes on left ventricular mass (LVM) and SA in 40 end-stage renal disease patients between 8 and 35 years old. Hypertension (95.0% vs. 71.0%; p=0.005), use of combined antihypertensive drugs (57.5% vs. 30.0%; p=0.01), and LVH (77.5% vs. 52.5%; p=0.01) significantly decreased after RT whereas low-to-high frequency ratio (LF/HF), which represents SA, increased (3.1 vs. 5.3; p=0.0001). However, LVM regressors (with decrease on LVM index more than 20%) showed a trend of lower change on LF/HF ratio (1.6 vs. 2.4; p= 0.09) than nonregressors. Living-donor graft, baseline LVM, use of antihypertensive drugs, lower change on LF/HF ratio, and lower systolic blood pressure levels were associated with LVM regression in the simple correlation analysis. However, in the logistic regression analysis, only baseline LVM and donor type remained in the model (R2=0.35; p=0.0003). Thus, LVH decreased after RT and was related to baseline LVM and living-donor type. However, it is possible that the higher persistence of LVH after RT could be explained at least in part by increase in heart sympathetic activity and use of immunosuppressors. More... »

PAGES

1413-1418

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00467-006-0238-8

DOI

http://dx.doi.org/10.1007/s00467-006-0238-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1007891644

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/16909241


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76 patients
77 persistence
78 pressure levels
79 ratio
80 regression
81 regression analysis
82 regressors
83 renal disease patients
84 renal transplantation
85 simple correlation analysis
86 study
87 sympathetic activity
88 systolic blood pressure levels
89 transplantation
90 trends
91 types
92 use
93 use of immunosuppressors
94 ventricular hypertrophy
95 ventricular mass
96 years
97 young adults
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