Key result
Hypertension is exceedingly common and frequently poorly controlled in pediatric ESRD patients, and improving blood pressure control could potentially reduce future cardiovascular morbidity and mortality.
Why the study?
Does improved blood pressure control reduce future cardiovascular morbidity and mortality in pediatric end-stage renal disease patients?
Does improved blood pressure control reduce future cardiovascular morbidity and mortality in pediatric end-stage renal disease patients?
Highlights the critical need for improved blood pressure control in pediatric ESRD patients to mitigate long-term cardiovascular risks.
Supports targeted BP evaluation in pediatric ESRD; leaves open whether control reduces long-term CV risk.
BACKGROUND: There are now numerous studies that have documented an increased risk of cardiovascular morbidity and mortality in young adults who had childhood-onset end-stage renal disease (ESRD). Since the number of such patients surviving to adulthood is increasing, strategies to reduce this risk are urgently needed. METHODS: The various risk factors contributing to adult cardiovascular disease in this population will be reviewed, with an emphasis on hypertension and its control. Data demonstrating the prevalence of hypertension in childhood chronic kidney disease as well as the results of improved blood pressure control in ESRD will also be presented. CONCLUSIONS: Hypertension is exceedingly common in pediatric ESRD patients and frequently poorly controlled. Efforts to improve blood pressure control in this patient population could potentially reduce future cardiovascular morbidity and mortality.
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Joseph T. Flynn (2012) conducted a review in pediatric end-stage renal disease (ESRD). Hypertension and its control was evaluated on cardiovascular morbidity and mortality. Hypertension is exceedingly common and frequently poorly controlled in pediatric ESRD patients, and improving blood pressure control could potentially reduce future cardiovascular morbidity and mortality.
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