Blood pressure changes following extracorporeal shock wave lithotripsy in Kirkuk province

Authors

  • Kamaran Y. Muhammadamin Department of Medical Biochemistry, College of Medicine, Hawler Medical University, Erbil, Iraq.
  • Muhammad A. Alshawni Department of Urology, College of Medicine, Kirkuk University, Kirkuk, Iraq.
  • Omeed O. Darweesh Kirkuk Health Directorate, Kirkuk, Iraq.

DOI:

https://doi.org/10.15218/zjms.2012.0043

Keywords:

ESWL, hypertension, clinical trial

Abstract

Background and Objectives: Hypertension has been reported as a possible sequela of extracorporeal shock wave lithotripsy, the aim to determine, in a clinical trial, the effect of extracorporeal shock wave lithotripsy (ESWL) on blood pressure.   Methods: This study included 216 patients, aged (12-65) years, with asymptomatic renal stones that were undergo ESWL in lithotripter unit/ Azadi teaching hospital –Kirkuk Province. Blood pressure was recorded at randomly using a standardized protocol. Patients undergoing ESWL received a mean (±SD) of 3608.8 (±475.9) shocks over a mean (6.81) of sessions on one lithotripter. Patients were then followed-up assessing their blood pressure. Data were analyzed on an intention for the treatment basis. Results: At randomization (13.42) % of the study group was hypertensive. Of (320) patients referred to the study, (258) were recruited based on the inclusion and exclusion criteria. A total of (216) patients (83 % of patients included) completed follow up, (137) (63.42%) were male and (79) (36.57%) were female. The mean follow-up peiod was (15.03) months. In the present study there was no association between mean diastolic and systolic blood pressure before and after ESWL. Conclusions: In the present study which included a randomized controlled clinical trial there was no evidence that ESWL causes changes in BP. More randomized control trials are needed to demonstrate the relationship between ESWL and hypertension.

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References

Chaussy C, Schuller J, Schmiedt E, Brandl H, Jocham D, Liedl B. Extracorporeal shock-wave lithotripsy (ESWL) for treatment of urolithiasis. Urology, 1984; 23:59–66.

Moody JA, Evans AP, Lingeman JE. Extracorporeal shockwave lithotripsy. In: Weiss RM, George NJR, O’Reilly PH, editors. Comprehensive Urology. Mosby International Limited, 2001. p. 623–36.

Chaussy C, Schmiedt E, Jocham D, et al. Extracorporeal shock wave lithotripsy: new aspects in the treatment of kidney stone disease. New York: S. Karger, 1982.

Evan AP, Willis LR, Connors B, Reed G, McAteer JA, Lingeman JE. Shock wave lithotripsy-induced renal injury. Am J Kid Dis, 1991; 17: 445±50.

Koga H, Matsuoka K, Noda S, Yamashita T. Cumulative renal damage in dogs by repeated treatment with ESWL. Int J Urol, 1996; 3: 134±40.

Peterson JC, Finlayson B. Effects of ESWL on blood pressure. In: Gravenstein J, Peter K, eds. Extracorporeal shock wave lithotripsy for renal stones disease. Boston, MA: Butterworths, 1986, p 145-6.

Watts RA, Hoffbrand BI. Hypertension following renal trauma (review). J Hum Hypertens, 1987; 1:65.

Lingeman JE, Kulb TB. Hypertension following extracorporeal shock wave lithotripsy. J Urol, 1987; 137:142A.

Williams C. M., Kaude J. V., Newman R. C. et al. Extracorporeal shock-wave lithotripsy: long-term complications. A.J.R.1988, 311-315.

Montgomery BS, Cole RS, Palfrey EL, Shuttleworth KE. Does ESWL cause hypertension? Br J Urol, 1989; 64: 567±71.

Liedl B, Jocham D, Lunz C, Schuster C, Schmiedt E. Five-year follow-up of urinary stone patients treated with extracorporeal shock wave lithotripsy. J Endourol, 1988; 2:157-62.

Claro Jde A, Lima ML, Ferreira U, Rodrigues Netto N Jr. Blood pressure changes after extracorporeal shock wave lithotripsy in normotensive patients. J Urol, 1993; 150(6):1765-7.

Zanetti GR, Montanari E, Guarneri A, Trinchieri A, Mandressi A, Ceresoli A. Long-term followup after extracorporeal shock wave lithotripsy treatment of kidney stones in solitary kidneys. J Urol, 1992; 148(3 Pt 2):1011- 4.

Chobanian AV, Bakris GL, Black HR et al "Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure", 2003: 1206–52.

Newman RC, Williams CM, Kaude J, Peterson J, Thomas WC. Hypertension following ESWL. In Proceedings of the Fifth World Congress on Endourology and ESWL, 1987: Abs0/230.

Germinale F, Puppo P, Bottino P, Caviglia C, Ricciotti G. ESWL and hypertension: No evidence for causal relationship. J Urol, 1989; 141: 288A.

Sandlow JI, Win®eld HN, Loening SA. Blood pressure changes related to ESWL. J Urol, 1989; 141: 290A.

Jewett MAS, Bombardier C, Logan AG et al. A randomized controlled trial to assess the incidence of new onset hypertension in patients after shockwave lithotripsy for asymptomatic renal calculi. J Urol, 1998; 160: 1241±3.

Yokoyama M, Shoji F, Yanagizawa R et al. Blood pressure changes following ESWL for urolithiasis. J Urol, 1992; 147: 553±8.

Vaughan ED, Tobin JN, Alderman R et al. Extracorporeal shock wave monotherapy does not cause renal dysfunction elevated blood pressure. J Urol, 1996; 155: 539A.

Lingeman. Commentary on ESWL and blood pressure. J Urol, 1995; 154: 2±4.

Zwergel TBH, Neissius D, Zergel UE, et al. Hypertension after extracorporeal shock wave lithotripsy: incidence following treatment with HM-3 lithotripter or Wolf Piezolith 2300 lithotripter. In: Lingeman JE, Newman DM, eds. Shock wave lithotripsy: Urinary and biliary. New York: Plenum Press, 1989, p 210-3.

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Published

2012-12-01

How to Cite

Muhammadamin, K. Y., Alshawni, M. A., & Darweesh, O. O. (2012). Blood pressure changes following extracorporeal shock wave lithotripsy in Kirkuk province. Zanco Journal of Medical Sciences (Zanco J Med Sci), 16(3), 256–261. https://doi.org/10.15218/zjms.2012.0043

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Original Articles