Hypertension in Children with Unilateral Multicystic Dysplastic Kidney: A Common but Rarely Diagnosed Condition

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dc.authorwosidELMAS, Ahmet Taner/W-4101-2017
dc.contributor.authorElmas, Ahmet Taner
dc.contributor.authorSelcuk, Senay Zirhli
dc.contributor.authorTabel, Yilmaz
dc.date.accessioned2024-08-04T20:10:15Z
dc.date.available2024-08-04T20:10:15Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: In this study, we aimed to determine the frequency of hypertension by performing 24 hours ambulatory blood pressure monitoring in children with unilateral multi-cystic disease of kidney without ipsilateral and/or contralateral kidney and/or urinary system anomalies. Methods: This study enrolled 24 patients with unilateral multi-cystic disease of kidney and age- and height-matched 20 healthy children. Blood pressure was measured by 2 approaches as follows: manual blood pressure and ambulatory blood pressure monitoring. Day-time, night-time, and 24 hours heart rate, pulse pressure, systolic and diastolic blood pressure, median arterial pressure, and systolic and diastolic blood pressure loads (%) were compared. Results: Ambulatory blood pressure monitoring measurements showed the presence of masked hypertension in 12 patients (45.8%), although 2 (8.3%) unilateral multi-cystic disease of kidney patients were hypertensive with manual blood pressure measurements. We detected that systolic blood pressure loads (%) (day-time, night-time, and 24 hours) and disatolic blood pressure loads (%) (night-time and 24 hours) were considerably higher than those of healthy children (P =.030, P =.012, P =.005, P =.012 and P =.005, respectively). Conclusion: Children with unilateral multi-cystic disease of kidney are more likely to have masked hypertension. Manual blood pressure measurements are not accurate in ruling out hypertension in children with unilateral multi-cystic disease of kidney. Ambulatory blood pressure monitoring contributes to more susceptible outcomes in proportion to manual blood pressure measurement in these patients, and it should be considered in clinical practice instead of manual blood pressure measurements.en_US
dc.identifier.doi10.5152/turkjnephrol.2022.214772
dc.identifier.endpage367en_US
dc.identifier.issn2667-4440
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-85142936967en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage363en_US
dc.identifier.trdizinid1135029en_US
dc.identifier.urihttps://doi.org/10.5152/turkjnephrol.2022.214772
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1135029
dc.identifier.urihttps://hdl.handle.net/11616/92682
dc.identifier.volume31en_US
dc.identifier.wosWOS:000951941100015en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofTurkish Journal of Nephrologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAmbulatory blood pressure monitoringen_US
dc.subjectchildrenen_US
dc.subjectmasked hypertensionen_US
dc.subjectmulti-cystic kidney diseaseen_US
dc.titleHypertension in Children with Unilateral Multicystic Dysplastic Kidney: A Common but Rarely Diagnosed Conditionen_US
dc.typeArticleen_US

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