Supine Hypertension and Extreme Reverse Dipping Phenomenon Decades after Kidney Transplantation: A Case Report
Background: Supine hypertension, a consequence of autonomic neuropathy, is a rarely recognized pathological condition. Reported diseases in the background are pure autonomic failure, multiple system atrophy, Parkinson’s disease, diabetes and different autoimmune disorders. Methods: In our case repo...
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-06-01
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| Series: | Artery Research |
| Subjects: | |
| Online Access: | https://www.atlantis-press.com/article/125941083/view |
| _version_ | 1811234181549654016 |
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| author | Dóra Batta Beáta Kőrösi János Nemcsik |
| author_facet | Dóra Batta Beáta Kőrösi János Nemcsik |
| author_sort | Dóra Batta |
| collection | DOAJ |
| description | Background: Supine hypertension, a consequence of autonomic neuropathy, is a rarely recognized pathological condition. Reported diseases in the background are pure autonomic failure, multiple system atrophy, Parkinson’s disease, diabetes and different autoimmune disorders.
Methods: In our case report we present a case of supine hypertension which developed in a patient decades after kidney transplantation. The patient was followed for 25 months and we demonstrate the effect of the modification of antihypertensive medications.
Results: At the time of the diagnosis supine hypertension appeared immediately after laying down (office sitting Blood Pressure (BP): 143/101 mmHg; office supine BP: 171/113 mmHg) and on Ambulatory Blood Pressure Monitoring (ABPM) extreme reverse dipping was registered (daytime BP: 130/86 mmHg, nighttime BP: 175/114 mmHg). After the modification of the antihypertensive medications, both office supine BP (office sitting BP: 127/92 mmHg; office supine BP: 138/100 mmHg) and on ABPM nighttime BP improved markedly (daytime BP: 135/92 mmHg, nighttime BP: 134/90 mmHg).
Conclusion: In conclusions, our case report points out that autonomic neuropathy-caused supine hypertension and extreme reverse dipping can develop in chronic kidney disease, after kidney transplantation. The modification of the antihypertensive medications can slowly restore this pathological condition. |
| first_indexed | 2024-04-12T11:33:29Z |
| format | Article |
| id | doaj.art-a7268ff4064e43cea57c318d89d0c130 |
| institution | Directory Open Access Journal |
| issn | 1876-4401 |
| language | English |
| last_indexed | 2024-04-12T11:33:29Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Artery Research |
| spelling | doaj.art-a7268ff4064e43cea57c318d89d0c1302022-12-22T03:34:57ZengBMCArtery Research1876-44012020-06-0126310.2991/artres.k.200603.002Supine Hypertension and Extreme Reverse Dipping Phenomenon Decades after Kidney Transplantation: A Case ReportDóra BattaBeáta KőrösiJános NemcsikBackground: Supine hypertension, a consequence of autonomic neuropathy, is a rarely recognized pathological condition. Reported diseases in the background are pure autonomic failure, multiple system atrophy, Parkinson’s disease, diabetes and different autoimmune disorders. Methods: In our case report we present a case of supine hypertension which developed in a patient decades after kidney transplantation. The patient was followed for 25 months and we demonstrate the effect of the modification of antihypertensive medications. Results: At the time of the diagnosis supine hypertension appeared immediately after laying down (office sitting Blood Pressure (BP): 143/101 mmHg; office supine BP: 171/113 mmHg) and on Ambulatory Blood Pressure Monitoring (ABPM) extreme reverse dipping was registered (daytime BP: 130/86 mmHg, nighttime BP: 175/114 mmHg). After the modification of the antihypertensive medications, both office supine BP (office sitting BP: 127/92 mmHg; office supine BP: 138/100 mmHg) and on ABPM nighttime BP improved markedly (daytime BP: 135/92 mmHg, nighttime BP: 134/90 mmHg). Conclusion: In conclusions, our case report points out that autonomic neuropathy-caused supine hypertension and extreme reverse dipping can develop in chronic kidney disease, after kidney transplantation. The modification of the antihypertensive medications can slowly restore this pathological condition.https://www.atlantis-press.com/article/125941083/viewautonomic neuropathyorthostatic hypotensionsupine hypertensionreverse dippingambulatory blood pressure monitoringcentral hemodynamic parameters |
| spellingShingle | Dóra Batta Beáta Kőrösi János Nemcsik Supine Hypertension and Extreme Reverse Dipping Phenomenon Decades after Kidney Transplantation: A Case Report Artery Research autonomic neuropathy orthostatic hypotension supine hypertension reverse dipping ambulatory blood pressure monitoring central hemodynamic parameters |
| title | Supine Hypertension and Extreme Reverse Dipping Phenomenon Decades after Kidney Transplantation: A Case Report |
| title_full | Supine Hypertension and Extreme Reverse Dipping Phenomenon Decades after Kidney Transplantation: A Case Report |
| title_fullStr | Supine Hypertension and Extreme Reverse Dipping Phenomenon Decades after Kidney Transplantation: A Case Report |
| title_full_unstemmed | Supine Hypertension and Extreme Reverse Dipping Phenomenon Decades after Kidney Transplantation: A Case Report |
| title_short | Supine Hypertension and Extreme Reverse Dipping Phenomenon Decades after Kidney Transplantation: A Case Report |
| title_sort | supine hypertension and extreme reverse dipping phenomenon decades after kidney transplantation a case report |
| topic | autonomic neuropathy orthostatic hypotension supine hypertension reverse dipping ambulatory blood pressure monitoring central hemodynamic parameters |
| url | https://www.atlantis-press.com/article/125941083/view |
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