Hypertension in renal disease: Diagnosis and treatment

School of Veterinary Medicine, Louisiana State University, Baton Rouge, Louisiana, USA.
Clinical Techniques in Small Animal Practice (Impact Factor: 0.82). 03/2005; 20(1):23-30. DOI: 10.1053/j.ctsap.2004.12.004
Source: PubMed

ABSTRACT Hypertension is a common sequela to renal disease in cats and dogs, affecting as many as 61% cats and 93% of dogs, respectively. Undiagnosed and untreated, elevations in blood pressure can have deleterious effects on the brain and heart as well as promote further renal injury. In this article, we discuss the identification of patients at risk for hypertension as well as methods for measuring blood pressure and the treatment of hypertensive patients.

12 Reads
  • Source
  • [Show abstract] [Hide abstract]
    ABSTRACT: PRACTICAL RELEVANCE: A number of systemic diseases are associated with neurological deficits. Most systemic diseases that impact on the nervous system result in multifocal neurological signs; however, isolated deficits can also be observed. This article reviews the clinical signs, pathophysiology, diagnosis, treatment and prognosis of four important systemic diseases with neurological consequences: feline infectious peritonitis, toxoplasmosis, hypertension and hepatic encephalopathy. CLINICAL CHALLENGES: Early recognition of systemic signs of illness in conjunction with neurological deficits will allow for prompt diagnosis and treatment. While neurological examination of the feline patient can undoubtedly be challenging, hopefully the accompanying articles in this special issue will enable the clinician to approach these cases with more confidence. EVIDENCE BASE: The veterinary literature contains numerous reports detailing the impact of systemic disease on the nervous system. Unfortunately, very few references provide detailed descriptions of large cohorts of affected cats. This review summarises the literature underpinning the four key diseases under discussion.
    Journal of Feline Medicine & Surgery 06/2009; 11(5):395-407. DOI:10.1016/j.jfms.2009.03.007 · 1.16 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Kidney disease is commonly associated with hypertension in dogs, cats and other species. There are multiple mechanisms underlying the development of renal hypertension including sodium retention, activation of the renin-angiotensin system and sympathetic nerve stimulation. The relative importance of these and other mechanisms may vary both between species and according to the type of kidney disease that is present. Consideration of underlying disease mechanisms may aid in the rational choice of therapy in hypertensive patients.
    Veterinary Clinics of North America Small Animal Practice 01/2011; 41(1):63-89. DOI:10.1016/j.cvsm.2010.11.002 · 0.82 Impact Factor
Show more