Korean J Transplant.  2022 Nov;36(Supple 1):S176. 10.4285/ATW2022.F-3031.

Hypertension after kidney transplantation

• Urmanov Y

• KMID: 2535692
• DOI: http://doi.org/10.4285/ATW2022.F-3031

Abstract

Background
Arterial hypertension (AH) after kidney transplantation has a direct relationship with the kidney graft survival. The aim of our study was to identify the prevalence of hypertension in recipients after kidney transplantation at the outpatient level.
Methods
The 15 patients after kidney transplantation who are being monitored on an outpatient level with AH were analyzed. The age, sex, the cause of renal failure, the number of transplants, the presence of hypertension before kidney transplantation, serum creatinine levels studied.
Results
There were nine males and six females. Only one patient had two kidney transplantation. The average age at the time of transplantation was 36±12.4 years. The main cause of chronic renal disease was chronic glomerulonephritis 80%. The aver-age stay on hemodialysis before kidney transplantation was 12±7.0 months. Thirteen (86.7%) patients had pretransplantation AH before the transplant. Out of 15 patients, nine (60%) took two or more medications for AH. After transplantation, 11 (73.3%) patients had hypertension in the range of 140–160/85–98 mm Hg. Patients with AH had serum creatinine levels within 96±28.5 mol/L. In the posttransplantation period, there was a decrease in the number of recipients with hypertension from 86.7% to 73.3%.
Conclusions
AH in most cases accompanies chronic kidney disease, and is a risk factor that is associated with long-term survival of a kidney transplant. However, kidney transplantation can reduce the number of recipients with hypertension.