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Hyperviscosity in renal transplant recipients.

E Tutal1, M Erkmen Uyar1, S Uyanik2

  • 1Department of Nephrology, Baskent University, Ankara, Turkey.

Transplantation Proceedings
|June 4, 2015
PubMed
Summary

High plasma viscosity in renal transplant recipients is linked to inflammation, hypertension, and increased body fat. This hyperviscous state is associated with declining kidney function and allograft dysfunction.

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Area of Science:

  • Nephrology
  • Cardiology
  • Biochemistry

Background:

  • Plasma viscosity, the resistance of blood to flow, is elevated in cardiovascular diseases.
  • Understanding factors influencing plasma viscosity is crucial for managing renal transplant recipients.

Purpose of the Study:

  • To investigate the relationship between clinical and laboratory findings and plasma viscosity in renal transplant recipients.
  • To identify predictors of hyperviscosity in this patient population.

Main Methods:

  • Eighty-one renal transplant recipients with normal graft function were analyzed retrospectively.
  • Plasma viscosity was measured and correlated with body composition, ambulatory blood pressure monitoring (ABPM), and pulse-wave velocity.
  • Graft function was assessed by estimated glomerular filtration rate (eGFR) decline.

Main Results:

  • Hyperviscosity was associated with higher serum low-density lipoprotein and C-reactive protein levels.
  • Patients with high viscosity exhibited elevated daytime and office systolic blood pressure, increased left ventricular mass index (LVMI), hip circumference, and fat mass.
  • Higher plasma viscosity correlated with a significantly greater eGFR decline over 2 years.

Conclusions:

  • Hyperviscosity in renal transplant recipients may stem from inflammation, hypertension, increased fat mass, and elevated LVMI.
  • Elevated plasma viscosity is closely linked to renal allograft dysfunction.