Supine Hypertension and Extreme Reverse Dipping Phenomenon Decades after Kidney Transplantation: A Case Report
Background Supine hypertension, a consequence of autonomic neuropathy, is a rarely recognized pathological condition. Reported diseases in the background are pure autonomic failure, multiple system atrophy, Parkinson’s disease, diabetes and different autoimmune disorders. Methods In our case report we present a case of supine hypertension which developed in a patient decades after kidney transplantation. The patient was followed for 25 months and we demonstrate the effect of the modification of antihypertensive medications. Results At the time of the diagnosis supine hypertension appeared immediately after laying down (office sitting Blood Pressure (BP): 143/101 mmHg; office supine BP: 171/113 mmHg) and on Ambulatory Blood Pressure Monitoring (ABPM) extreme reverse dipping was registered (daytime BP: 130/86 mmHg, nighttime BP: 175/114 mmHg). After the modification of the antihypertensive medications, both office supine BP (office sitting BP: 127/92 mmHg; office supine BP: 138/100 mmHg) and on ABPM nighttime BP improved markedly (daytime BP: 135/92 mmHg, nighttime BP: 134/90 mmHg). Conclusion In conclusions, our case report points out that autonomic neuropathy-caused supine hypertension and extreme reverse dipping can develop in chronic kidney disease, after kidney transplantation. The modification of the antihypertensive medications can slowly restore this pathological condition..
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2020 |
|---|---|
| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:26 |
|---|---|
| Enthalten in: |
Artery research - 26(2020), 3 vom: 07. Juni, Seite 183-186 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Batta, Dóra [VerfasserIn] |
|---|
| Links: |
Volltext [kostenfrei] |
|---|
| Themen: |
Ambulatory blood pressure monitoring |
|---|
| Anmerkungen: |
© Association for Research into Arterial Structure and Physiology. Publishing services by Atlantis Press International B.V. 2020 |
|---|
| doi: |
10.2991/artres.k.200603.002 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
SPR05472693X |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | SPR05472693X | ||
| 003 | DE-627 | ||
| 005 | 20240214064703.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240211s2020 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.2991/artres.k.200603.002 |2 doi | |
| 035 | |a (DE-627)SPR05472693X | ||
| 035 | |a (SPR)artres.k.200603.002-e | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Batta, Dóra |e verfasserin |0 (orcid)0000-0001-7207-8665 |4 aut | |
| 245 | 1 | 0 | |a Supine Hypertension and Extreme Reverse Dipping Phenomenon Decades after Kidney Transplantation: A Case Report |
| 264 | 1 | |c 2020 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a © Association for Research into Arterial Structure and Physiology. Publishing services by Atlantis Press International B.V. 2020 | ||
| 520 | |a Background Supine hypertension, a consequence of autonomic neuropathy, is a rarely recognized pathological condition. Reported diseases in the background are pure autonomic failure, multiple system atrophy, Parkinson’s disease, diabetes and different autoimmune disorders. Methods In our case report we present a case of supine hypertension which developed in a patient decades after kidney transplantation. The patient was followed for 25 months and we demonstrate the effect of the modification of antihypertensive medications. Results At the time of the diagnosis supine hypertension appeared immediately after laying down (office sitting Blood Pressure (BP): 143/101 mmHg; office supine BP: 171/113 mmHg) and on Ambulatory Blood Pressure Monitoring (ABPM) extreme reverse dipping was registered (daytime BP: 130/86 mmHg, nighttime BP: 175/114 mmHg). After the modification of the antihypertensive medications, both office supine BP (office sitting BP: 127/92 mmHg; office supine BP: 138/100 mmHg) and on ABPM nighttime BP improved markedly (daytime BP: 135/92 mmHg, nighttime BP: 134/90 mmHg). Conclusion In conclusions, our case report points out that autonomic neuropathy-caused supine hypertension and extreme reverse dipping can develop in chronic kidney disease, after kidney transplantation. The modification of the antihypertensive medications can slowly restore this pathological condition. | ||
| 650 | 4 | |a autonomic neuropathy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a orthostatic hypotension |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a supine hypertension |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a reverse dipping |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a ambulatory blood pressure monitoring |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a central hemodynamic parameters |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Kőrösi, Beáta |4 aut | |
| 700 | 1 | |a Nemcsik, János |0 (orcid)0000-0002-3573-0287 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Artery research |d Amsterdam : Atlantis Press, 2006 |g 26(2020), 3 vom: 07. Juni, Seite 183-186 |w (DE-627)SPR045764557 |w (DE-600)2364789-9 |x 1876-4401 |7 nnns |
| 773 | 1 | 8 | |g volume:26 |g year:2020 |g number:3 |g day:07 |g month:06 |g pages:183-186 |
| 856 | 4 | 0 | |u https://dx.doi.org/10.2991/artres.k.200603.002 |z kostenfrei |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_SPRINGER | ||
| 951 | |a AR | ||
| 952 | |d 26 |j 2020 |e 3 |b 07 |c 06 |h 183-186 | ||