Left ventricular hypertrophy, treadmill tests, and 24-hour blood pressure in pediatric transplant patients

Maria Chiara Matteucci, Ugo Giordano, Armando Calzolari, Attilio Turchetta, Antonella Santilli, Gianfranco Rizzoni

Research output: Contribution to journalArticle

74 Citations (Scopus)

Abstract

Background. Hypertension and left ventricular hypertrophy (LVH) are possible complications in pediatric patients after renal transplantation. Methods. We performed left ventricular echocardiography, 24-hour ambulatory blood pressure monitoring (24-hr ABPM), and treadmill tests in 28 pediatric renal transplant patients (mean age 16.1 ± 3.7; time since transplantation 36 ± 23 months). Left ventricular mass (LVM) was indexed for height. Results. LVH was found in 82% of the patients. Seven of these patients were normotensive by 24-hour ABPM, but five patients showed a hypertensive systolic BP response during the treadmill test. LVM/height correlated significantly with the mean 24-hour systolic BP (P = 0.002) and with the maximal exercise systolic BP (P = 0.002). Conclusion. LVH is frequent in pediatric renal transplant patients. More information is needed with respect to the risk for LVH, including data from 24-hour ABPM and treadmill testing.

Original languageEnglish
Pages (from-to)1566-1570
Number of pages5
JournalKidney International
Volume56
Issue number4
DOIs
Publication statusPublished - 1999

Fingerprint

Left Ventricular Hypertrophy
Exercise Test
Pediatrics
Blood Pressure
Transplants
Kidney
Ambulatory Blood Pressure Monitoring
Kidney Transplantation
Echocardiography
Transplantation
Exercise
Hypertension

Keywords

  • Ambulatory blood pressure
  • Cardiac hypertrophy
  • Hypertension
  • Pediatric renal transplantation
  • Transplant morbidity

ASJC Scopus subject areas

  • Nephrology

Cite this

Matteucci, M. C., Giordano, U., Calzolari, A., Turchetta, A., Santilli, A., & Rizzoni, G. (1999). Left ventricular hypertrophy, treadmill tests, and 24-hour blood pressure in pediatric transplant patients. Kidney International, 56(4), 1566-1570. https://doi.org/10.1046/j.1523-1755.1999.00667.x

Left ventricular hypertrophy, treadmill tests, and 24-hour blood pressure in pediatric transplant patients. / Matteucci, Maria Chiara; Giordano, Ugo; Calzolari, Armando; Turchetta, Attilio; Santilli, Antonella; Rizzoni, Gianfranco.

In: Kidney International, Vol. 56, No. 4, 1999, p. 1566-1570.

Research output: Contribution to journalArticle

Matteucci, MC, Giordano, U, Calzolari, A, Turchetta, A, Santilli, A & Rizzoni, G 1999, 'Left ventricular hypertrophy, treadmill tests, and 24-hour blood pressure in pediatric transplant patients', Kidney International, vol. 56, no. 4, pp. 1566-1570. https://doi.org/10.1046/j.1523-1755.1999.00667.x
Matteucci, Maria Chiara ; Giordano, Ugo ; Calzolari, Armando ; Turchetta, Attilio ; Santilli, Antonella ; Rizzoni, Gianfranco. / Left ventricular hypertrophy, treadmill tests, and 24-hour blood pressure in pediatric transplant patients. In: Kidney International. 1999 ; Vol. 56, No. 4. pp. 1566-1570.
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AU - Santilli, Antonella

AU - Rizzoni, Gianfranco

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N2 - Background. Hypertension and left ventricular hypertrophy (LVH) are possible complications in pediatric patients after renal transplantation. Methods. We performed left ventricular echocardiography, 24-hour ambulatory blood pressure monitoring (24-hr ABPM), and treadmill tests in 28 pediatric renal transplant patients (mean age 16.1 ± 3.7; time since transplantation 36 ± 23 months). Left ventricular mass (LVM) was indexed for height. Results. LVH was found in 82% of the patients. Seven of these patients were normotensive by 24-hour ABPM, but five patients showed a hypertensive systolic BP response during the treadmill test. LVM/height correlated significantly with the mean 24-hour systolic BP (P = 0.002) and with the maximal exercise systolic BP (P = 0.002). Conclusion. LVH is frequent in pediatric renal transplant patients. More information is needed with respect to the risk for LVH, including data from 24-hour ABPM and treadmill testing.

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