Cole L, Jepson R, Humm K
Department of Clinical Science and Services, The Royal Veterinary College, Hawkshead Lane, Hatfield, Hertfordshire, ALP 7TA, UK.
J Small Anim Pract. 2017 Oct;58(10):577-581. doi: 10.1111/jsap.12726. Epub 2017 Sep 5.
To describe the prevalence of systemic hypertension in cats with community-acquired acute kidney injury and investigate its relationship with disease severity.
Retrospective study of cats presenting to the Queen Mother Hospital for Animals, Royal Veterinary College with acute kidney injury between 2007 and 2015. Systolic blood pressure was measured using Doppler sphygmomanometry and systemic hypertension was defined pressures ê150 mmHg. Median systolic blood pressure measurement, grade of acute kidney injury (as defined by the International Renal Interest Society), serum creatinine on admission, anuria or oliguria, length of hospitalisation, survival to discharge and six-month survival were all recorded.
Forty-six cats were included; 21/48 (48.8%) showed systemic hypertension on admission and was severe (ê180 mmHg) in 8/43 (18.6%). During the whole hospitalisation period, systemic hypertension was detected in 27/46 (58.7%) cases and severe in 13/46 (28.2%). Systemic hypertension did not appear to be statistically associated with grade of kidney injury, serum creatinine on presentation, oliguria or anuria.
Systemic hypertension is common in cats with acute kidney injury but does not appear to be associated with its severity.
描述社区获得性急性肾损伤猫的系统性高血压患病率，并研究其与疾病严重程度的关系。
对2007年至2015年间就诊于皇家兽医学院女王母亲动物医院的急性肾损伤猫进行回顾性研究。使用多普勒血压计测量收缩压，系统性高血压定义为血压≥150 mmHg。记录收缩压测量中位数、急性肾损伤分级（根据国际肾脏兴趣协会定义）、入院时血清肌酐、无尿或少尿、住院时间、出院存活率和六个月存活率。
纳入46只猫；21/48（48.8%）入院时出现系统性高血压，其中8/43（18.6%）为重度（≥180 mmHg）。在整个住院期间，27/46（58.7%）例检测到系统性高血压，13/46（28.2%）为重度。系统性高血压似乎与肾损伤分级、就诊时血清肌酐、少尿或无尿无统计学关联。
系统性高血压在急性肾损伤猫中很常见，但似乎与其严重程度无关。
