The effect of haemodialysis and transplantation on autonomic neuropathy.
Autonomic nerve function as measured by the Valsalva ratio and the blood pressure response to sustained hand grip, is impaired in chronic renal failure. Treatment with haemodialysis results in insignificant improvement in the Valsalva ratio and a trend towards improvement in the hand grip tests. Transplantation improves but does not return to normal the Valsalva ratio, whereas the hand grip test is rapidly restored to normal.
D000328:Adult; D001341:Autonomic Nervous System / Q000503:physiopathology*; D001794:Blood Pressure; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000503:physiopathology; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D009422:Nervous System Diseases / Q000503:physiopathology*; D006435:Renal Dialysis; D013997:Time Factors; D014636:Valsalva Maneuver