Braga Eveline Tozzi, Leite João Henrique Artero de Carvalho, Rosa Fernando Azadinho, Tivelli Patrícia, Araújo Amanda Mariano, de Almeida Breno Fernando Martins, Ferrari Heitor Flávio, Ciarlini Paulo César, Machado Gisele Fabrino, Marcondes Mary
Departamento de Clínica, Cirurgia e Reprodução Animal, Faculdade de Medicina Veterinária, Universidade Estadual Paulista, Araçatuba, SP, Brasil.
Rev Bras Parasitol Vet. 2015 Jan-Mar;24(1):45-51. doi: 10.1590/S1984-29612015007.
To evaluate the prevalence of hypertension and its correlation with the severity of renal injury and proteinuria in dogs with leishmaniosis, sixty-six dogs were divided into two groups. Group 1 (G1) was composed of 54 dogs included in stage 1 of chronic kidney disease (CKD), and group 2 (G2) of twelve dogs in stages 2 and 3 of CKD. Prevalence of hypertension was 28.8%, comprising 22.2% of the dogs from G1 and 58.3% from G2 (P=0.011). The mean arterial blood pressure (BP) of dogs from G1 (135.7 ± 20.5) was lower than from G2 (170.0 ± 26.3) (P <0.001). Urine protein-creatinine ratio (UP/C) revealed values above 0.5 in 75.7% of the dogs, with 34% presenting hypertension. All dogs with hypertension had histopathological and laboratory evidence of glomerular disease. Although there was no statistically significant correlation between elevated BP and the severity of glomerular lesions (P=0.408), there was a statistically significant correlation between elevated BP and increased UP/C in the studied population (P=0.002). Thus, dogs with leishmaniosis and renal disease must be screened for the presence of hypertension so that treatment may be instituted as early as possible, in countries where treatment is allowed, to prevent the progression of renal damage.
为评估利什曼病犬高血压的患病率及其与肾损伤严重程度和蛋白尿的相关性,将66只犬分为两组。第1组(G1)由54只处于慢性肾脏病(CKD)1期的犬组成,第2组(G2)由12只处于CKD 2期和3期的犬组成。高血压患病率为28.8%,其中G1组犬占22.2%,G2组犬占58.3%(P=0.011)。G1组犬的平均动脉血压(BP)(135.7±20.5)低于G2组犬(170.0±26.3)(P<0.001)。尿蛋白肌酐比值(UP/C)显示75.7%的犬该值高于0.5,其中34%的犬患有高血压。所有患有高血压的犬均有肾小球疾病的组织病理学和实验室证据。虽然血压升高与肾小球病变严重程度之间无统计学显著相关性(P=0.408),但在研究人群中血压升高与UP/C升高之间存在统计学显著相关性(P=0.002)。因此,在允许治疗的国家,患有利什曼病和肾病的犬必须筛查是否存在高血压,以便尽早开始治疗,防止肾损伤进展。