Uncontrolled blood pressure can lead to severe complications for Kidney Transplant patients and eventually cause transplant failure. Poor blood pressure control by Chronic Kidney Disease (CKD) patients who have received a Kidney Transplant is a consistent challenge. In a study, for example, only 5 percent of kidney transplant patients were normotensive (normal blood pressure) as defined by blood pressures less than 130/80 mmHg.
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Beyond the significant emotional toll a Kidney Transplant loss may have on an individual, good transplant stewardship is critical to improve the chances of the 100,000 people currently on the Kidney Transplant Waiting List to actually receive a kidney. Over 10 percent of transplants are given to people who already received a kidney, but subsequently lost it due to complications such as high blood pressure. On the other hand, about 5,000 people who never received a Kidney Transplant died on the waiting list just last year.
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In no way is KidneyBuzz.com suggesting that people with CKD who have received more than one Kidney Transplant are at fault for those who were unable. The simple fact is that there are many reasons why transplants fail that are completely out of the control of those who received them. However, high blood pressure is a complication that, for many reasons goes unchecked in those with CKD after transplantation. Still, there are ways for the individual to improve outcomes for himself or herself which can benefit the CKD Community at large.
It is important to note that blood pressure frequently rises in CKD patients after Kidney Transplantation and hypertension (high blood pressure) develops in up to 60 to 80 or more percent of Kidney Transplant recipients. Lifestyle modifications such as weight loss, increasing regular exercise and sodium restriction will all be helpful to reduce blood pressure. Also, drinking clear fluids can help to rid the body of extra salt. Be sure to eat a varied diet including lots of fruits and vegetables as well as reduce stress by trying different relaxation techniques, or by avoiding stressful situations.
After these simple steps, blood pressure success will be achieved by following you rNephrologists' prescribed medication regimen of anti-hypertensive drugs. Typically, patients with established heart disease and diabetes will receive blood pressure lowering drugs called beta-blockers during their preoperative period. The drug called, Hydralazine, is often used in hospitalized patients while calcium channel blockers may be recommended early after transplant. KidneyBuzz.com recommends that your therapy be goal oriented and that you work closely with your healthcare team to help tailor your care to particular concerns and needs that you may have.
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Malick, Tom. "SAVE A TRANSPLANT BY REGULATING HYPERTENSION." SAVE A TRANSPLANT BY REGULATING HYPERTENSION. Virgo Publishing, LLC.
John Vella, MD, FACP, FRCP, FASN Daniel C Brennan, MD, FACP. "Hypertension after Renal Transplantation." Http://www.uptodate.com/. UpToDate, Inc.
Jayan, Nithin. "High Blood Pressure After Kidney Transplantation."Http://www.medindia.net/. Medindia.