Arrêt de l'hémodialyse chronique par amélioration de la fonction rénale suite au contrôle de l'hypertension artérielle [Discontinuation of chronic hemodialysis due to improved kidney function caused by the control of arterial hypertension].

Details

Serval ID
serval:BIB_64B629A1789F
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
Arrêt de l'hémodialyse chronique par amélioration de la fonction rénale suite au contrôle de l'hypertension artérielle [Discontinuation of chronic hemodialysis due to improved kidney function caused by the control of arterial hypertension].
Journal
Schweizerische Medizinische Wochenschrift
Author(s)
Wauters J.P., Schaller M.D., Brunner H.R.
ISSN
0036-7672 (Print)
ISSN-L
0036-7672
Publication state
Published
Issued date
1979
Volume
109
Number
47
Pages
1873-1875
Language
french
Notes
Publication types: Case Reports
Abstract
Following effective long-term antihypertensive therapy, hemodialysis could be discontinued in 4 patients with malignant hypertension in view of improved renal function. Diagnoses included nephroangiosclerosis (2 cases), scleroderma and chronic glomerulonephritis. All patients had symptoms of hypertension or renal disease for at least one year prior to initiation of hemodialysis treatment. At the outset, blood pressure averaged 249 +/- 43/150 +/- 22 mm Hg (mean +/- SD) and all patients had grade IV hypertensive retinopathy. After 1 to 20 months strict blood pressure control, renal function had improved to such a degree that hemodialysis could be discontinued. One year later, blood pressure averaged 138 +/- 20/89 +/- 6 mm Hg and serum creatinine 3,2 +/- 1,2 mg/100 ml. These data suggest that in hypertensive patients with chronic renal failure, strict control of blood pressure is of the utmost importance whatever the severity and nature of the underlying renal disease.
Keywords
Adult, Creatinine/blood, Female, Furosemide/therapeutic use, Humans, Hypertension/complications, Hypertension/drug therapy, Male, Middle Aged, Nitroprusside/therapeutic use, Propranolol/therapeutic use, Raynaud Disease/therapy, Renal Dialysis, Renin/blood, Uremia/etiology
Pubmed
Create date
06/09/2011 16:49
Last modification date
20/08/2019 14:20
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