Signs of autonomic neuropathy in childhood uremia

K. Tory, P. Sallay, P. Tóth-Heyn, A. Szabó, A. Szabó, T. Tulassay, G. S. Reusz

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

To evaluate the presence of autonomic neuropathy in childhood uremia, cardiovascular autonomic reflexes were examined in children with chronic renal failure. Cardiovascular autonomic reflexes of 10 uremic patients on chronic dialysis and 10 transplanted patients were compared to assess the effect of transplantation on autonomic neuropathy. Resting heart rate, heart rate changes induced by deep breathing, by Valsalva maneuver, and following standing up, and blood pressure change induced by handgrip test were examined. Of the 10 uremic children, 4 showed early involvement and 2 had definite involvement of autonomic neuropathy. Only 1 of the 10 transplanted patients showed early signs of autonomic neuropathy. Autonomic tests demonstrated predominantly parasympathetic dysfunction. In conclusion, cardiovascular autonomic neuropathy is not rare in children and adolescents and young adults with chronic renal failure. In contrast, the prevalence is very low in transplanted patients with similar uremic precedents. Efforts should be made to prevent or delay this uremia-related complication.

Original languageEnglish
Pages (from-to)25-28
Number of pages4
JournalPediatric Nephrology
Volume16
Issue number1
DOIs
Publication statusPublished - Feb 12 2001

Keywords

  • Autonomic neuropathy and transplantation
  • Uremia

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Nephrology

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