Urinary angiotensinogen level is increased in renal transplant recipients with masked hypertension and is correlated with left ventricular mass index and albuminuria in these patients

Activation of the local renin‐angiotensin system (RAS) is an independent risk factor for the development of proteinuria and left ventricular hypertrophy (LVH) more commonly seen in masked hypertensives. It has been reported that urinary angiotensinogen (UAGT) level provides a specific index of the i...

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Veröffentlicht in:Clinical transplantation 2018-09, Vol.32 (9), p.e13375-n/a
Hauptverfasser: Tiryaki, Ozlem, Usalan, Celalettin, Kul, Seval, Tarakcioglu, Mehmet, Sucu, Murat, Yildiz, Fahrettin, Coban, Sacit
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container_end_page n/a
container_issue 9
container_start_page e13375
container_title Clinical transplantation
container_volume 32
creator Tiryaki, Ozlem
Usalan, Celalettin
Kul, Seval
Tarakcioglu, Mehmet
Sucu, Murat
Yildiz, Fahrettin
Coban, Sacit
description Activation of the local renin‐angiotensin system (RAS) is an independent risk factor for the development of proteinuria and left ventricular hypertrophy (LVH) more commonly seen in masked hypertensives. It has been reported that urinary angiotensinogen (UAGT) level provides a specific index of the intrarenal RAS status. The aim of this study was to evaluate the association between UAGT and left ventricular mass index (LVMI) and urinary albumin‐creatinine ratio (UACR) in renal transplant recipients (RTRs) with masked hypertension (HT). A total of 116 non‐diabetic‐treated hypertensive RTRs were included in this study. The patients were divided into two groups: masked hypertensives and controlled hypertensives. Forty‐two (36.2%) of RTRs had masked HT. Mean UACR and LVMI levels were higher in RTRs with masked HT than in RTRs with controlled HT (P 
doi_str_mv 10.1111/ctr.13375
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It has been reported that urinary angiotensinogen (UAGT) level provides a specific index of the intrarenal RAS status. The aim of this study was to evaluate the association between UAGT and left ventricular mass index (LVMI) and urinary albumin‐creatinine ratio (UACR) in renal transplant recipients (RTRs) with masked hypertension (HT). A total of 116 non‐diabetic‐treated hypertensive RTRs were included in this study. The patients were divided into two groups: masked hypertensives and controlled hypertensives. Forty‐two (36.2%) of RTRs had masked HT. Mean UACR and LVMI levels were higher in RTRs with masked HT than in RTRs with controlled HT (P &lt; 0.001). UAGT level was also higher in masked hypertensives compared to controlled hypertensives (P &lt; 0.001). Multivariable regression analysis showed that UAGT was positively correlated with UACR (β = 0.024, P = 0.001) and LVMI (β = 0.082, P = 0.001) in masked hypertensives. Consequently, masked HT was considerably frequent (36.2%) in treated hypertensive RTRs and high UAGT levels accompanied by high albuminuria and LVMI levels were seen in these patients. Overproduction of the UAGT may play a pivotal role in the development of LVH and proteinuria in masked hypertensives.</description><identifier>ISSN: 0902-0063</identifier><identifier>EISSN: 1399-0012</identifier><identifier>DOI: 10.1111/ctr.13375</identifier><identifier>PMID: 30080282</identifier><language>eng</language><publisher>Denmark</publisher><subject>albuminuria ; ambulatory blood pressure ; left ventricular mass index ; masked hypertension ; renal transplant recipients ; urinary angiotensinogen</subject><ispartof>Clinical transplantation, 2018-09, Vol.32 (9), p.e13375-n/a</ispartof><rights>2018 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2018 John Wiley &amp; Sons A/S. 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It has been reported that urinary angiotensinogen (UAGT) level provides a specific index of the intrarenal RAS status. The aim of this study was to evaluate the association between UAGT and left ventricular mass index (LVMI) and urinary albumin‐creatinine ratio (UACR) in renal transplant recipients (RTRs) with masked hypertension (HT). A total of 116 non‐diabetic‐treated hypertensive RTRs were included in this study. The patients were divided into two groups: masked hypertensives and controlled hypertensives. Forty‐two (36.2%) of RTRs had masked HT. Mean UACR and LVMI levels were higher in RTRs with masked HT than in RTRs with controlled HT (P &lt; 0.001). UAGT level was also higher in masked hypertensives compared to controlled hypertensives (P &lt; 0.001). Multivariable regression analysis showed that UAGT was positively correlated with UACR (β = 0.024, P = 0.001) and LVMI (β = 0.082, P = 0.001) in masked hypertensives. Consequently, masked HT was considerably frequent (36.2%) in treated hypertensive RTRs and high UAGT levels accompanied by high albuminuria and LVMI levels were seen in these patients. Overproduction of the UAGT may play a pivotal role in the development of LVH and proteinuria in masked hypertensives.</description><subject>albuminuria</subject><subject>ambulatory blood pressure</subject><subject>left ventricular mass index</subject><subject>masked hypertension</subject><subject>renal transplant recipients</subject><subject>urinary angiotensinogen</subject><issn>0902-0063</issn><issn>1399-0012</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kc1O3DAUha2qCKYDi74A8rIsZvBP7CRLNCoUCalSBevIcW4Yt44TbIfpPBmvVyczsKs3vrr-7jnyPQh9pWRN07nW0a8p57n4hBaUl-WKEMo-owUpCUu15GfoSwi_U1dSKU7RGSekIKxgC_T25I1Tfo-VezZ9BBeM65_BYQuvYLEJ2DjtQQVoUoU9OGVx9MqFwSoXU0ObwYCLAe9M3OJOhT8J3e4H8LNa75J0Mwnp3nuwKqbnGbXQRvyaRr3Ro1V-mp3sGvg7jyhbj51xozdqso5bCIAHFWe3c3TSKhvg4ngv0dPt98fNj9XDz7v7zc3DSnMmxIpzQXTbCp4XJRVaSpUJVVJIi8jyRha1kJTWktCCFrqGWirKM9kyLpnQOTR8ib4ddAffv4wQYtWZoMGmz0M_hoqRIuOZoDlL6NUB1b4PwUNbDd50abcVJdWUU5VyquacEnt5lB3rDpoP8j2YBFwfgJ2xsP-_UrV5_HWQ_AdA66Ef</recordid><startdate>201809</startdate><enddate>201809</enddate><creator>Tiryaki, Ozlem</creator><creator>Usalan, Celalettin</creator><creator>Kul, Seval</creator><creator>Tarakcioglu, Mehmet</creator><creator>Sucu, Murat</creator><creator>Yildiz, Fahrettin</creator><creator>Coban, Sacit</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9967-1925</orcidid></search><sort><creationdate>201809</creationdate><title>Urinary angiotensinogen level is increased in renal transplant recipients with masked hypertension and is correlated with left ventricular mass index and albuminuria in these patients</title><author>Tiryaki, Ozlem ; Usalan, Celalettin ; Kul, Seval ; Tarakcioglu, Mehmet ; Sucu, Murat ; Yildiz, Fahrettin ; Coban, Sacit</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3255-3350cff5378915c66a45a91e16147d68b5611b601818cbeb6a1346f23625c7ed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>albuminuria</topic><topic>ambulatory blood pressure</topic><topic>left ventricular mass index</topic><topic>masked hypertension</topic><topic>renal transplant recipients</topic><topic>urinary angiotensinogen</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tiryaki, Ozlem</creatorcontrib><creatorcontrib>Usalan, Celalettin</creatorcontrib><creatorcontrib>Kul, Seval</creatorcontrib><creatorcontrib>Tarakcioglu, Mehmet</creatorcontrib><creatorcontrib>Sucu, Murat</creatorcontrib><creatorcontrib>Yildiz, Fahrettin</creatorcontrib><creatorcontrib>Coban, Sacit</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tiryaki, Ozlem</au><au>Usalan, Celalettin</au><au>Kul, Seval</au><au>Tarakcioglu, Mehmet</au><au>Sucu, Murat</au><au>Yildiz, Fahrettin</au><au>Coban, Sacit</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Urinary angiotensinogen level is increased in renal transplant recipients with masked hypertension and is correlated with left ventricular mass index and albuminuria in these patients</atitle><jtitle>Clinical transplantation</jtitle><addtitle>Clin Transplant</addtitle><date>2018-09</date><risdate>2018</risdate><volume>32</volume><issue>9</issue><spage>e13375</spage><epage>n/a</epage><pages>e13375-n/a</pages><issn>0902-0063</issn><eissn>1399-0012</eissn><abstract>Activation of the local renin‐angiotensin system (RAS) is an independent risk factor for the development of proteinuria and left ventricular hypertrophy (LVH) more commonly seen in masked hypertensives. It has been reported that urinary angiotensinogen (UAGT) level provides a specific index of the intrarenal RAS status. The aim of this study was to evaluate the association between UAGT and left ventricular mass index (LVMI) and urinary albumin‐creatinine ratio (UACR) in renal transplant recipients (RTRs) with masked hypertension (HT). A total of 116 non‐diabetic‐treated hypertensive RTRs were included in this study. The patients were divided into two groups: masked hypertensives and controlled hypertensives. Forty‐two (36.2%) of RTRs had masked HT. Mean UACR and LVMI levels were higher in RTRs with masked HT than in RTRs with controlled HT (P &lt; 0.001). UAGT level was also higher in masked hypertensives compared to controlled hypertensives (P &lt; 0.001). Multivariable regression analysis showed that UAGT was positively correlated with UACR (β = 0.024, P = 0.001) and LVMI (β = 0.082, P = 0.001) in masked hypertensives. Consequently, masked HT was considerably frequent (36.2%) in treated hypertensive RTRs and high UAGT levels accompanied by high albuminuria and LVMI levels were seen in these patients. Overproduction of the UAGT may play a pivotal role in the development of LVH and proteinuria in masked hypertensives.</abstract><cop>Denmark</cop><pmid>30080282</pmid><doi>10.1111/ctr.13375</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9967-1925</orcidid></addata></record>
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subjects albuminuria
ambulatory blood pressure
left ventricular mass index
masked hypertension
renal transplant recipients
urinary angiotensinogen
title Urinary angiotensinogen level is increased in renal transplant recipients with masked hypertension and is correlated with left ventricular mass index and albuminuria in these patients
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