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Updated: Jul 17, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
[Hypertension in patients with renal transplantation]
Lidija Orlić1, Branka Sladoje-Martinović, Ana Vlahović
1Zavod za nefrologiju i dijalizu, Interna klinika, KBC Rijeka.
Insights
Hypertension is common after kidney transplants, with most cases developing within the first year. Effective blood pressure management is achievable in most renal transplant recipients.
Area of Science:
- Nephrology
- Cardiology
- Transplantation Medicine
Context:
- Hypertension is a prevalent complication in renal transplant recipients.
- Understanding its incidence and timing is crucial for patient management.
Purpose:
- To determine the incidence, timing, and severity of hypertension post-renal transplantation.
- To identify the prevalence of hypertension in the early and late post-transplant periods.
Summary:
- This study included 78 renal transplant patients, finding hypertension prevalence increased from 17.9% pre-transplant to 75.6% post-transplant.
- Hypertension predominantly occurred within the first post-transplant year (79%), with decreasing incidence in later years.
- While 78% achieved satisfactory blood pressure, 22% required one drug and 25% required two or more drugs for control.
Impact:
- Highlights the critical need for vigilant hypertension monitoring in the first year after kidney transplantation.
- Informs clinical practice regarding the timing and management strategies for post-transplant hypertension.
- Emphasizes the high incidence of hypertension and the need for effective treatment in renal transplant recipients.
Abstract:
Hypertension frequently occurs in patients with renal transplant. The aim of the present study was to determine the incidence, time of occurrence and hypertension severity following transplantation. A total of 78 patients (37 women and 41 men) mean age 49.9 +/- 12 years were included in the study. The post-transplant period amounted from 6 to 168 months. Prior to transplantation, hypertension was registered in 14 patients (17.9%). Following transplantation hypertension was registered in 59 (75.6%). During the first post-transplant year hypertension occurred in 79% of patients, while in the period of one to three years in 13.5% and in 6.7% of patients with transplant performed three or more years earlier. Hypertension responsive to only one drug was found in 22%, and to two or more drugs in 25% of patients. The satisfactory blood pressure values were obtained in 78% of patients. The study reveals that hypertension in the majority of renal transplant patients develops during the first post-transplant year.
Related Concept Videos
Kidney Transplant III: Nursing Management
Kidney Transplant I: Introduction
Kidney Transplant II: Surgical Procedure
Hypertension and Regulation of Blood Pressure
Hypertension II: Pathophysiology
Hypertension III: Clinical Manifestations and Diagnostic Studies

