2009, Number 3
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Aten Fam 2009; 16 (3)
Evolution from the Systemic High Blood Pressure to a Chronic Renal Disease.
Muñoz CG, Trejo TF, Mejía RO, Belio CF, Salinas GA, Estrada-Andrade ME, Rodríguez AE
Language: Spanish
References: 15
Page: 44-47
PDF size: 312.61 Kb.
ABSTRACT
Objective: to evaluate the evolution time to Terminal Chronic Renal
disease of patients with systemic high blood pressure (SHBP)
Design: a
retrospective study.
Methods: fi les of patients with Terminal Chronic
Renal disease attending the Regional General Hospital – 1 (HGR-1)
associated to high blood pressure (≥140/90 mmHg) were included in
the study, and those associated to another comorbidity, were excluded.
Data are expressed in a ± standard error.
Results: from 538 fi les, 54
accomplished the selected criteria, 33 (61%) in peritoneal dialysis, 15
(28%) in hemodialysis, 6 (11%) with kidney transplant. The evolution
time since the High blood pressure was fi rst diagnosed until the Terminal
Chronic Renal disease was of 13 years ± 1.18. The diagnosis was
made with a VFG of 12.26 ± 1.2ml/min and the replacement therapy
began after 1.2 ± 0.27 years the kidney failure was fi rst diagnosed.
68% of the patients presented no control of the TA.
Conclusions:
after 13 years, patients developed the renal disease in terminal phase.
There is a poor or no follow up to the guidelines to the systemic high
blood pressure management. There is no opportune diagnosis and
treatment of the Chronic Renal Disease, which can derive in a better
quality of life of patients.
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