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Chronic kidney disease prevalence and ambulatory blood pressure profile in healthy HIV positive subjects pre and post anti-retroviral therapy

Introduction: Few studies have been done in South Africa to establish the extent of chronic kidney disease (CKD) in stable outpatients infected with the human immunodeficiency virus (HIV). Both HIV and the anteretroviral therapy (ART) used to treat HIV have been associated with abnormal metabolic pr...

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Main Author: Borkum, Megan Sara
Other Authors: Wearne, N
Format: Thesis
Language:English
Published: Division of Nephrology and Hypertension 2016
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access_status_str Open Access
author Borkum, Megan Sara
author2 Wearne, N
author_browse Borkum, Megan Sara
Wearne, N
author_facet Wearne, N
Borkum, Megan Sara
author_sort Borkum, Megan Sara
collection Thesis
description Introduction: Few studies have been done in South Africa to establish the extent of chronic kidney disease (CKD) in stable outpatients infected with the human immunodeficiency virus (HIV). Both HIV and the anteretroviral therapy (ART) used to treat HIV have been associated with abnormal metabolic profile, increased cardiovascular risk and renal disease1,2,3. Hypertension has been found to be common in HIV infected individuals, in European and American cohorts, with a prevalence ranging from 13- 34%2. Nocturnal blood pressure (BP) is superior to daytime or office BP as a predictor of cardiovascular disease4. However, the relationship between circadian BP patterns, measured via ambulatory blood pressure (ABP) monitoring, and HIV has never been documented in the South African HIV infected population. Individuals with an abnormal diurnal rhythm and a blunted nocturnal decline in systolic BP (SBP), i.e. ≤ 10%, are referred to as 'non- dippers' and have the highest risk of cardiovascular complications4. HIV itself has been associated with a non- dipping status and may play a role in the HIV related increase in cardiovascular risk5.
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:36:02.955Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2016
publishDateRange 2016
publishDateSort 2016
publisher Division of Nephrology and Hypertension
publisherStr Division of Nephrology and Hypertension
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/19881 Chronic kidney disease prevalence and ambulatory blood pressure profile in healthy HIV positive subjects pre and post anti-retroviral therapy Borkum, Megan Sara Wearne, N Rayner, B Medicine Introduction: Few studies have been done in South Africa to establish the extent of chronic kidney disease (CKD) in stable outpatients infected with the human immunodeficiency virus (HIV). Both HIV and the anteretroviral therapy (ART) used to treat HIV have been associated with abnormal metabolic profile, increased cardiovascular risk and renal disease1,2,3. Hypertension has been found to be common in HIV infected individuals, in European and American cohorts, with a prevalence ranging from 13- 34%2. Nocturnal blood pressure (BP) is superior to daytime or office BP as a predictor of cardiovascular disease4. However, the relationship between circadian BP patterns, measured via ambulatory blood pressure (ABP) monitoring, and HIV has never been documented in the South African HIV infected population. Individuals with an abnormal diurnal rhythm and a blunted nocturnal decline in systolic BP (SBP), i.e. ≤ 10%, are referred to as 'non- dippers' and have the highest risk of cardiovascular complications4. HIV itself has been associated with a non- dipping status and may play a role in the HIV related increase in cardiovascular risk5. 2016-06-02T08:41:59Z 2016-06-02T08:41:59Z 2015 Master Thesis Masters MMed http://hdl.handle.net/11427/19881 eng application/pdf Division of Nephrology and Hypertension Faculty of Health Sciences University of Cape Town
spellingShingle Medicine
Borkum, Megan Sara
Chronic kidney disease prevalence and ambulatory blood pressure profile in healthy HIV positive subjects pre and post anti-retroviral therapy
thesis_degree_str Master's
title Chronic kidney disease prevalence and ambulatory blood pressure profile in healthy HIV positive subjects pre and post anti-retroviral therapy
title_full Chronic kidney disease prevalence and ambulatory blood pressure profile in healthy HIV positive subjects pre and post anti-retroviral therapy
title_fullStr Chronic kidney disease prevalence and ambulatory blood pressure profile in healthy HIV positive subjects pre and post anti-retroviral therapy
title_full_unstemmed Chronic kidney disease prevalence and ambulatory blood pressure profile in healthy HIV positive subjects pre and post anti-retroviral therapy
title_short Chronic kidney disease prevalence and ambulatory blood pressure profile in healthy HIV positive subjects pre and post anti-retroviral therapy
title_sort chronic kidney disease prevalence and ambulatory blood pressure profile in healthy hiv positive subjects pre and post anti retroviral therapy
topic Medicine
url http://hdl.handle.net/11427/19881
work_keys_str_mv AT borkummegansara chronickidneydiseaseprevalenceandambulatorybloodpressureprofileinhealthyhivpositivesubjectspreandpostantiretroviraltherapy