Secondary Hypertension, Issues in Diagnosis and Treatment

Pullalarevu, Raghavesh; Akbar, Ghulam; Teehan, Geoffrey

doi:10.1016/j.pop.2014.08.001

Cited by 14 publications

(15 citation statements)

References 67 publications

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“…The inclusion of exotic species within assemblages of human-altered habitats might play an important role in ecosystem functioning and resilience, replacing functions that otherwise would be lost because of the local extinction of most intolerant indigenous species [ 61 – 62 ]. Therefore, the replacement of indigenous species by exotics with similar functional traits might result in small changes in ecosystem functioning [ 63 ]. This assertion might somehow relate to the lack of common functional traits shared by invaders in the literature (e.g., [ 56 – 57 , 64 ]) and their heterogeneous and context-dependent impacts on native assemblages [ 65 ].…”

Section: Discussionmentioning

confidence: 99%

The Colonisation of Exotic Species Does Not Have to Trigger Faunal Homogenisation: Lessons from the Assembly Patterns of Arthropods on Oceanic Islands

et al. 2015

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Human-caused disturbances can lead to the extinction of indigenous (endemic and native) species, while facilitating and increasing the colonisation of exotic species; this increase can, in turn, promote the similarity of species compositions between sites if human-disturbed sites are consistently invaded by a regionally species-poor pool of exotic species. In this study, we analysed the extent to which epigean arthropod assemblages of four islands of the Azorean archipelago are characterised by nestedness according to a habitat-altered gradient. The degree of nestedness represents the extent to which less ubiquitous species occur in subsets of sites occupied by the more widespread species, resulting in an ordered loss/gain of species across environmental or ecological gradients. A predictable loss of species across communities while maintaining others may lead to more similar communities (i.e. lower beta-diversity). In contrast, anti-nestedness occurs when different species tend to occupy distinct sites, thus characterising a replacement of species across such gradients. Our results showed that an increase in exotic species does not promote assemblage homogenisation at the habitat level. On the contrary, exotic species were revealed as habitat specialists that constitute new and well-differentiated assemblages, even increasing the species compositional heterogeneity within human-altered landscapes. Therefore, contrary to expectations, our results show that both indigenous and exotic species established idiosyncratic assemblages within habitats and islands. We suggest that both the historical extinction of indigenous species in disturbed habitats and the habitat-specialised character of some exotic invasions have contributed to the construction of current assemblages.

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Section: Discussionmentioning

confidence: 99%

The Colonisation of Exotic Species Does Not Have to Trigger Faunal Homogenisation: Lessons from the Assembly Patterns of Arthropods on Oceanic Islands

et al. 2015

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“…Apart from ESRD and the inability to maintain normal sodium and water homeostasis, practicing nephrologists should not forget that a few patients with hypertension who remain resistant to treatment may have other secondary causes of hypertension that should be adequately sought for and treated [129,130]. The prevalence and incidence of these disorders can resemble that of the general population, with some exceptions.…”

Section: Secondary Causes Of Hypertension In Dialysis Patientsmentioning

confidence: 99%

Hypertension in dialysis patients: a consensus document by the European Renal and Cardiovascular Medicine (EURECA-m) working group of the European Renal Association–European Dialysis and Transplant Association (ERA-EDTA) and the Hypertension and the Kidney working group of the European Society of Hypertension (ESH)*

Sarafidis

Persu

Agarwal

et al. 2017

Nephrology Dialysis Transplantation

183

185

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In patients with end-stage renal disease (ESRD) treated with haemodialysis or peritoneal dialysis, hypertension is common and often poorly controlled. Blood pressure (BP) recordings obtained before or after haemodialysis display a J- or U-shaped association with cardiovascular events and survival, but this most likely reflects the low accuracy of these measurements and the peculiar haemodynamic setting related to dialysis treatment. Elevated BP detected by home or ambulatory BP monitoring is clearly associated with shorter survival. Sodium and volume excess is the prominent mechanism of hypertension in dialysis patients, but other pathways, such as arterial stiffness, activation of the renin-angiotensin-aldosterone and sympathetic nervous systems, endothelial dysfunction, sleep apnoea and the use of erythropoietin-stimulating agents may also be involved. Non-pharmacologic interventions targeting sodium and volume excess are fundamental for hypertension control in this population. If BP remains elevated after appropriate treatment of sodium and volume excess, the use of antihypertensive agents is necessary. Drug treatment in the dialysis population should take into consideration the patient's comorbidities and specific characteristics of each agent, such as dialysability. This document is an overview of the diagnosis, epidemiology, pathogenesis and treatment of hypertension in patients on dialysis, aiming to offer the renal physician practical recommendations based on current knowledge and expert opinion and to highlight areas for future research.

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“…For severity of haemophilia (severe vs. non-severe), one study [9] found a significant result for only diastolic blood pressure and one age-adjusted analysis and the other study [10] reported a trend but with P-values ≥0. 15. One publication spoke of a trend for patient reported haematuria episodes (P = 0.05), while renal functioning measured by serum creatinine concentration was not significantly associated with hypertension, but standardization with estimated glomerular filtration rate (eGFR) was not conducted [9].…”

Section: Introductionmentioning

confidence: 99%

Hypertension, haematuria and renal functioning in haemophilia – a cross‐sectional study in Europe

et al. 2015

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As in the general population, age and BMI were major risk factors for hypertension in people with haemophilia. Renal dysfunction was associated with hypertension, but the prevalence of renal dysfunction was not extensive and furthermore not significantly correlated with haematuria. The associations of other variables with hypertension require further studies to confirm causal relationships over time.

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Secondary Hypertension, Issues in Diagnosis and Treatment

Cited by 14 publications

References 67 publications

The Colonisation of Exotic Species Does Not Have to Trigger Faunal Homogenisation: Lessons from the Assembly Patterns of Arthropods on Oceanic Islands

The Colonisation of Exotic Species Does Not Have to Trigger Faunal Homogenisation: Lessons from the Assembly Patterns of Arthropods on Oceanic Islands

Hypertension, haematuria and renal functioning in haemophilia – a cross‐sectional study in Europe

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