Blood pressure in children with renal cysts and diabetes syndrome

2021 ◽  
Author(s):  
Tomáš Seeman ◽  
Friederike Weigel ◽  
Kveta Blahova ◽  
Filip Fencl ◽  
Stepanka Pruhova ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Renal Cysts

Ultrasound-Assisted Drainage and Alcoholization of Hepatic and Renal Cysts: 22 Cases

2007 ◽  
Vol 43 (2) ◽  
pp. 112-116 ◽  
Author(s):  
Andrea Zatelli ◽  
Paola D’Ippolito ◽  
Ugo Bonfanti ◽  
Eric Zini
Keyword(s):  
Blood Pressure ◽  
Abdominal Pain ◽  
Clinical Signs ◽  
Renal Cysts ◽  
Systemic Hypertension ◽  
Hepatic Cysts ◽  
Ultrasound Assisted

Twenty-two dogs and cats with symptomatic renal or hepatic cysts that had undergone ultrasound-assisted drainage and alcoholization were retrospectively evaluated. Common presenting complaints were anorexia, reluctance to move, and vomiting. Abdominal pain was observed in all cases. Systemic hypertension was identified in four dogs and four cats with renal cysts. Cyst drainage and alcoholization were achieved without complications in 19 animals, and all clinical signs resolved after the procedure. In three cases, transient bleeding was observed during alcoholization, and the procedure was interrupted. Blood pressure normalized in the four dogs with renal cysts, but it remained elevated in the four cats.

scholarly journals 435 Renal denervation in a patient with uncontrolled arterial hypertension secondary to polycystic kidney disease

2021 ◽  
Vol 23 (Supplement_G) ◽  
Author(s):  
Maddalena Widmann ◽  
Simone Fezzi ◽  
Gianluca Castaldi ◽  
Domenico Tavella ◽  
Michele Pighi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Chronic Pain ◽  
Kidney Disease ◽  
Arterial Hypertension ◽  
Therapeutic Option ◽  
Renal Cysts ◽  
Secondary Hypertension ◽  
Polycystic Kidney ◽  
Loin Pain

Abstract Aims Autosomal dominant polycystic kidney disease (ADPKD) represents the most common inherited cause of chronic kidney disease. Typical manifestations of this condition include secondary hypertension, abdominal pain, haematuria and urinary tract infections. Despite the progressive increase in the use of antihypertensive therapy in patients with ADPKD in the last decades, reaching blood pressure target is often difficult in this setting due to the complex physiopathology of arterial hypertension in ADPKD. Catheter-based renal sympathetic denervation (RDN) represents nowadays a therapeutic strategy to approach resistant hypertension. Based on consistent results of several sham-controlled clinical trials, the evidence of safety and efficacy of this procedure is increasing, also in patients with multiple comorbidities including chronic kidney disease. Patients with ADPKD often develop chronic severe kidney-related pain, caused by distension of the renal capsule due to the expansion of the cysts. RDN was proposed to be an effective therapeutic option able to relieve loin pain. Methods A 49-year-old man affected by ADPKD was referred to our centre for resistant uncontrolled arterial hypertension, despite combined therapy with five antihypertensive drugs. He also complained about intense loin pain and 3 years earlier underwent two surgical interventions to remove voluminous renal cysts, that did not relieve chronic pain. His kidney function was moderately decreased at presentation, with progressive decline in the previous years. After a multi-disciplinary discussion with a nephrologist and algologist, the patient was proposed for RDN with the aim of lowering blood pressure and reducing pain. He was treated in July 2018, and after the procedure, was observed a better control of blood pressure but no benefits on pain. Because of the persistence of intractable loin pain, the patient was submitted to a second RDN in December 2018. Also, after this procedure, blood pressure declined remarkably, decreasing his need for antihypertensive medications without a significant worsening of kidney function. Unfortunately, no benefit on chronic pain was observed. Results ADPKD is characterized by the progressive bilateral development of focal renal cysts. Cardiovascular complications, mainly related to hypertension, are a major cause of morbidity and mortality for these patients. RDN could be a valid and safe therapeutic option for the treatment of secondary hypertension in this setting.

Significant association between simple renal cysts and arterial blood pressure

1997 ◽  
Vol 79 (5) ◽  
pp. 688-688 ◽  
Author(s):  
J.F. PEDERSEN ◽  
S.A. EMAMIAN ◽  
M.B. NIELSEN
Keyword(s):  
Blood Pressure ◽  
Arterial Blood Pressure ◽  
Renal Cysts ◽  
Arterial Blood

Simple renal cysts and circadian blood pressure: are they related to each other in patients with hypertension?

2010 ◽  
Vol 43 (1) ◽  
pp. 157-165 ◽  
Author(s):  
Baris Afsar ◽  
Rengin Elsurer Afsar ◽  
Sumru Tanju Sen ◽  
Alper Kirkpantur ◽  
Tayfun Eyileten ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Renal Cysts ◽  
Circadian Blood Pressure

scholarly journals Low prevalence of hypertension in children with renal cysts and diabetes syndrome is the hallmark of the disease

2021 ◽  
Author(s):  
Tomas Seeman ◽  
Friederike Weigel ◽  
Kveta Blahova ◽  
Filip Fencle ◽  
Stepanka Pruhova ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Creatinine Clearance ◽  
Antihypertensive Drugs ◽  
Kidney Diseases ◽  
Pediatric Nephrology ◽  
Renal Cysts ◽  
Cystic Kidney ◽  
Renal Ultrasound ◽  
Low Prevalence ◽  
Hypertension In Children

Abstract Cystic kidney diseases such as autosomal recessive or dominant polycystic kidney disease (ARPKD and ADPKD) are associated with high prevalence of arterial hypertension. On the contrary, studies on hypertension in children with renal cysts and diabetes (RCAD) syndrome caused by abnormalities in the HNF1B gene are rare. Therefore, the aim of our study was to investigate the prevalence of hypertension in children with RCAD syndrome due to HNF1B gene abnormalities and to search for possible risk factors for development of hypertension. Data on all children with genetically proven RCAD syndrome from three pediatric nephrology tertiary centers were retrospectively reviewed (office blood pressure (BP), ambulatory blood pressure monitoring (ABPM), creatinine clearance, renal ultrasound, echocardiography, albuminuria/proteinuria). Hypertension was defined using the current ESH 2016 criteria and/or by the use of antihypertensive drugs. Thirty-two children with RCAD syndrome were investigated. Three children received ACE-inhibitors for hypertension and/or proteinuria. Hypertension was diagnosed using office BP in 22% of the children (n = 7) In the 7 performed ABPM 1 child (14%) was diagnosed with hypertension. Creatinine clearance, proteinuria, albuminuria, body mass index, enlargement or hypodysplasia of the kidneys and prevalence of HNF1B-gene deletion or mutation were not significantly different between hypertensive and normotensive children. Conclusion: Hypertension is rare in children with RCAD syndrome. The low prevalence of hypertension seems to be the hallmark of the disease.

Simple renal cysts and arterial hypertension: does their evacuation decrease the blood pressure?

2009 ◽  
Vol 27 (10) ◽  
pp. 2074-2078 ◽  
Author(s):  
Enver Zerem ◽  
Goran Imamović ◽  
Safet Omerović
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Renal Cysts

scholarly journals Endothelin-1 Level in Patients with Simple Renal Cyst

Folia Medica ◽  
2019 ◽  
Vol 61 (4) ◽  
pp. 545-550 ◽  
Author(s):  
Selahattin Çalişkan ◽  
Mustafa Sungur ◽  
Bariş Eser ◽  
Mustafa Kanbay ◽  
Hüseyin Kocan ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Kidney Disease ◽  
Renal Cyst ◽  
Renal Cysts ◽  
Systemic Hypertension ◽  
Simple Renal Cyst ◽  
Endothelin 1 ◽  
Significant Difference ◽  
Group 2 ◽  
Group 1

Introduction: Endothelin-1 (ET-1) is potent vasoconstrictive peptide and elevated ET-1 levels are associated with hypertension, endothelial dysfunction and atherosclerosis. Research on (ET-1) has demonstrated that elevated ET-1 levels in autosomal dominant polycystic kidney disease leads to systemic hypertension. The prevalence of simple renal cysts increases with age and the association with simple renal cyst and hypertension is not clear. The aim of this study was to investigate the ET-1 levels in patients with simple renal cyst and compare them with those in healthy adults. Materials and methods: The study included patients that underwent laparoscopic renal cyst decortication in the Department of Urology and healthy controls. Serum and urinary ET-1 levels were measured before surgery and one month after it in the patients with simple renal cyst. Serum ET-1 levels were measured in healthy adult patients. Ambulatory blood pressure was measured in all patients. Glomerular filtration rate was measured according to the chronic kidney disease epidemiology collaboration formula. Results: Thirty-two patients were included in the present study. Of these, 16 patients with simple renal cyst were allocated into group 1 and 16 healthy patients - in group 2. There was no significant difference between systolic and diastolic blood pressure between the groups (p=0.820 and p=0.618, respectively). Serum EL-1 levels were significantly lower in group 1 than those in group 2 (p=0.036). Interestingly, serum EL-1 levels were increased after laparoscopic cyst decortication and there was no significant difference with healthy patients (p=0.429). Conclusions: The present study demonstrated that serum EL-1 level in patients with simple renal cyst was lower than that in healthy people. Further studies are needed to investigate the EL-1 levels in simple renal cyst patients.

Evaluation of two methods of teaching blood pressure measurement

1988 ◽  
Vol 52 (9) ◽  
pp. 519-521
Author(s):  
NK Nordstrom ◽  
S Longenecker ◽  
HL Whitacre ◽  
FM Beck
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Measurement
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