Evaluation of arterial hypertension by ambulatory blood pressure monitoring in pediatric liver transplant recipients

ARIKANOĞLU E., TABEL Y., Selimoglu A.

BLOOD PRESSURE MONITORING, cilt.27, sa.1, ss.39-42, 2022 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 27 Sayı: 1
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1097/mbp.0000000000000563
  • Dergi Adı: BLOOD PRESSURE MONITORING
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.39-42
  • Anahtar Kelimeler: ambulatory blood pressure monitoring, children, hypertension, liver transplantation, masked hypertension, CARDIOVASCULAR RISK-FACTORS, SCIENTIFIC STATEMENT, CHILDREN, ADOLESCENTS, PROFILES, OBESITY
  • İnönü Üniversitesi Adresli: Evet

Özet

Objective Many cardiovascular complications, including hypertension, are seen in pediatric liver transplantation. The purpose of this study was to analyze the frequency of arterial hypertension of pediatric liver transplant recipients and also to determine the related risk factors. Methods Thirty-six pediatric liver transplant recipients aged 8-17 years were prospectively studied by manual and ambulatory blood pressure measurement (ABPM) technique. Results The mean age of patients was 12.42 +/- 2.74 years and the mean ABPM measurement time after transplantation was 2 years (3 months-5.9 years). Only one (2.7%) patient was detected as hypertensive by casual measurement, but 17 (47.2%) patients were found to be hypertensive when measured through ABPM. Of children that were found to be hypertensive as a result of ABPM, 64.7% were observed to have a nondipper pattern. Considering the time passed after the transplantation, patients were found to be more hypertensive in the first 2 years posttransplant although it was not found statistically significant. Conclusions In this study, it has been shown that it is possible to diagnose hypertension at an earlier period of transplantation using ABPM in pediatric liver transplant patients. ABPM is needed to detect masked hypertension that may develop following liver transplantation.