title: Control of blood pressure in liver transplant recipients.
abstract: BACKGROUND
  Increased blood pressure (BP) is common after liver transplantation. However, there is scarce information on its control.
  
  
  METHODS
  In this prospective, cross-sectional, multicenter study, we determined BP according to the recommended international standards in 921 liver transplant patients during one routine outpatient visit to assess their grade of control of BP. At the time of the study, 490 patients had been previously diagnosed with arterial hypertension and were receiving antihypertensive treatment, and 431 were not previously diagnosed as hypertensive.
  
  
  RESULTS
  In the hypertensive group, arterial hypertension was uncontrolled (BP >140/90 mm Hg [>130/80 in diabetics]) in 158 (32%) patients and controlled in 332 (68%) patients. In a multivariate analysis, only diabetes was identified as a significant predictor of uncontrolled hypertension. Among patients not previously diagnosed as hypertensive, BP was increased in 106 (25%) and normal in 325 (75%). On multivariate analysis, the only variable independently associated with increased BP in this group was metabolic syndrome.
  
  
  CONCLUSIONS
  BP is not adequately controlled in a noticeable percentage of liver transplant patients, especially in subjects with diabetes or metabolic syndrome.
authors.affiliation: Hospital Clinic, IDIBAPS, Barcelona, CIBEREHD, Spain.
authors.forename: Belinda
authors.initials: B
authors.lastname: Martínez-Saldivar
authors.forename: Jhon
authors.initials: J
authors.lastname: Prieto
authors.forename: Marina
authors.initials: M
authors.lastname: Berenguer
authors.forename: Manuel
authors.initials: M
authors.lastname: de la Mata
authors.forename: José-Antonio
authors.initials: JA
authors.lastname: Pons
authors.forename: Trinidad
authors.initials: T
authors.lastname: Serrano
authors.forename: Lourdes
authors.initials: L
authors.lastname: Rafael-Valdivia
authors.forename: Victoria
authors.initials: V
authors.lastname: Aguilera
authors.forename: Pilar
authors.initials: P
authors.lastname: Barrera
authors.forename: Pascual
authors.initials: P
authors.lastname: Parrilla
authors.forename: Sara
authors.initials: S
authors.lastname: Lorente
authors.forename: Angel
authors.initials: A
authors.lastname: Rubin
authors.forename: Enrique
authors.initials: E
authors.lastname: Fraga
authors.forename: Antoni
authors.initials: A
authors.lastname: Rimola
mesh_terms: D000368:Aged; D001794:Blood Pressure; D065095:Calcineurin Inhibitors; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy*; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies
chemical_list: D065095:Calcineurin Inhibitors