THAY ĐỔI HUYẾT ÁP VÀ NHỊP TIM Ở BỆNH NHÂN SAU GHÉP THẬN TẠI BỆNH VIỆN CHỢ RẪY

Abstract

Introduction: Cardiovascular complications are common in end-stage renal disease (ESRD) patients. Kidney transplantation has been reported to have a positive impact on cardiovascular outcomes, including blood pressure and heart rate changes. Objectives: To describe the changes in blood pressure and heart rate before and after kidney transplantation in ESRD patients. Materials and methods: A retrospective descriptive study was conducted on ESRD patients who underwent kidney transplantation between 2014 and 2017 at Cho Ray Hospital. Patient information, clinical parameters including blood pressure, antihypertensive medications, and echocardiography were collected before and after transplantation for one year. Results: A total of 296 ESRD patients who underwent kidney transplantation were included in the study. The mean age was 35.1 ± 9.3 years, and male patients accounted for 65.2% of the study population. The duration of dialysis before transplantation was 11.3 (1-106.1) months. During the one-year follow-up period, there was a significant decrease in systolic and diastolic blood pressure compared to pre-transplant levels, while heart rate remained unchanged. The number of antihypertensive medications needed to control blood pressure also decreased after transplantation. Conclusion: Kidney transplantation resulted in a significant decrease in blood pressure in ESRD patients, leading to improved blood pressure control with fewer antihypertensive medications.