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首页> 外文期刊>Cureus. >Erythropoietin-Induced Hypertension: A Review of Pathogenesis, Treatment, and Role of Blood Viscosity
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Erythropoietin-Induced Hypertension: A Review of Pathogenesis, Treatment, and Role of Blood Viscosity

机译:促红细胞生成素诱导的高血压:血液粘度发病,治疗和作用的综述

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Anemia is a common complication of certain chronic diseases and can be treated by stimulating hematopoietic cells to increase red blood cell count, and this action is achieved by recombinant human erythropoietin. In this review article, we have discussed about hypertension, which develops as a result of erythropoietin therapy. We have explored the pathogenesis of erythropoietin-induced hypertension and discussed some ways to prevent and treat this condition. Also, an attempt has been made to find out the role of blood viscosity in erythropoietin-induced hypertension. We conducted a comprehensive review of literature by collecting data from online databases like PubMed and Google Scholar. We mainly studied clinical trials that unraveled the mechanism of hypertension caused by erythropoietin. Hypertension is mainly caused due to enhanced vascular responsiveness to constrictors and impaired action of vasodilators. Role of blood viscosity in the pathogenesis of hypertension is doubtful due to the lack of consistency in the studies. Incidence of hypertension can be reduced by achieving slow correction of anemia and by switching to subcutaneous route of administration. Conventional anti-hypertensives have been found to be beneficial in the treatment. In some severe and persistent cases, temporary discontinuation of erythropoietin may be needed.
机译:贫血是某种慢性疾病的常见并发症,可以通过刺激造血细胞来增加红细胞计数,并且该作用是通过重组人促红细胞生成素实现的。在本综述文章中,我们已经讨论了高血压,这是由于促红细胞生成素治疗而发展。我们探讨了促红细胞生成素诱导的高血压的发病机制,并讨论了一些方法来预防和治疗这种情况。此外,已经尝试发现血液粘度在促红细胞素诱导的高血压中的作用。我们通过收集来自PubMed和Google Scholar等在线数据库的数据进行了全面审查文献。我们主要研究临床试验,解除促使促红细胞生成素引起的高血压机制。高血压主要是由于增强了血管反应与约束和血管扩张剂的损害作用引起的。由于研究中缺乏一致性,血液粘度在高血压发病机构中的作用是值得怀疑的。通过实现贫血缓慢的校正和通过切换到皮下给药途径,可以减少高血压发病率。已发现常规的抗高血压率在治疗中有益。在一些严重和持续的病例中,可能需要临时停药促红细胞生成素。

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