PMID: 11605788Oct 19, 2001Paper

Ambulatory blood pressure monitoring after recovery from hemolytic uremic syndrome

Pediatric Nephrology : Journal of the International Pediatric Nephrology Association
Rafael T KrmarGabriel Waisman

Abstract

The outcome of acute renal failure due to diarrhea-associated hemolytic uremic syndrome (D+ HUS) is generally predicted to be good. However, there are only a few long-term observations with detailed reports on long-term sequelae. Specifically, adequate long-term blood pressure (BP) evaluations are scarce. The present study evaluated BP in pediatric patients after childhood D+ HUS. The study group comprised 28 patients (20 males) aged 6-23.5 years (median 10.1 years). All patients had a history of D+ HUS at a median age of 1.1 years (range 0.5-6 years). Based on the duration of oliguria and/or anuria, the primary disease was classified as mild (n=6), moderate (n=6), or severe (n=16). The BP in these patients was studied at a median time of 8.4 years (range 2.3-22.9 years) after manifestation of D+ HUS by means of office BP measurements and 24-h ambulatory BP monitoring (ABPM) using a Spacelabs 90207 oscillometric monitor. Measurements were compared with normal values of published standards for healthy children and adolescents. Conventional office BP measurements were above the 95th percentile in 1 patient. By ABPM, 2 patients were diagnosed to have mean systolic daytime and nighttime values in the hypertensive range, and systoli...Continue Reading

Citations

Jan 5, 2013·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Joann M SpinaleBernard S Kaplan
Mar 8, 2011·Indian Pediatrics·Rajiv Sinha, Janis Dionne
May 15, 2007·Current Opinion in Pediatrics·Karen L McNiece, Ronald J Portman
Aug 24, 2004·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Laura De PetrisGianfranco Rizzoni
Dec 24, 2005·Kidney International·D J AskenaziS L Goldstein
Jun 16, 2015·Pediatric Transplantation·Johannes HoeneckeAnette Melk
Sep 16, 2004·Pediatric Transplantation·Mónica E Del CompareRafael T Krmar
Oct 29, 2018·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Catherine Monet-DidaillerJérôme Harambat
Aug 2, 2002·Current Opinion in Cardiology·Albert P Rocchini
Jan 1, 2015·Medicina·Birutė PundzienėAugustina Jankauskienė

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