Hypertension Clinical Trial
Official title:
Observational Study to Evaluate the Effect of Parathyroidectomy on Renal Function, Endothelial Function and Blood Pressure
Secondary hyperparathyroidism (HPT) is a known complication of chronic renal failure.
Elevated concentrations of parathyroid hormone (PTH) play a role not only in the
pathogenesis of renal bone disease, but also in the development of cardiovascular risk
factors such as disturbed lipid metabolism, glucose intolerance, and hypertension. HPT is
also known to play an important role in the development of structural abnormalities of both
large arteries and the heart (left ventricular hypertrophy, interstitial fibrosis). In the
last couple of years there has been increasing evidence from animal studies that the
endothelium is a target organ of PTH.
Hypothesis: PTH has clinically relevant effects on renal hemodynamics, renal function and
endothelial function.
Aims:
1. To evaluate the effect of parathyroidectomy (PTX) on renal hemodynamics in stable renal
transplant recipients
2. To evaluate the effect of PTX on endothelial function in stable renal transplant
recipients/chronic kidney disease (CKD) stage 5 patients
3. To evaluate the effect of PTX on blood pressure in stable renal transplant
recipients/CKD stage 5 patients
n/a
Observational Model: Cohort, Time Perspective: Prospective
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