Hypertension and nephrology

[Hyperkalaemia IV.]

DEÁK György1, PATÓ Éva1, KÉKES Ede2

SEPTEMBER 30, 2020

Hypertension and nephrology - 2020;24(4)

The six-part summary presents the epidemiology, diagnosis, pathogenesis, and treatment of hyperkalaemia.

AFFILIATIONS

  1. Uzsoki Utcai Kórház, III. Belgyógyászati-Nefrológiai Osztály, Budapest
  2. Pécsi Tudományegyetem, Klinikai Központ, Kardiológiai Tanszék, Pécs

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[Affective temperaments (cyclothymic, hypertymic, depressive, anxious, irritable) are stable parts of personality and after adolescent only their minor changes are detectable. Their connections with psychopathology is well-described; depressive temperament plays role in major depression, cyclothymic temperament in bipolar II disorder, while hyperthymic temperament in bipolar I disorder. Moreover, scientific data of the last decade suggest, that affective temperaments are also associated with somatic diseases. Cyclothymic temperament is supposed to have the closest connection with hypertension. The prevalence of hypertension is higher parallel with the presence of dominant cyclothymic affective temperament and in this condition the frequency of cardiovascular complications in hypertensive patients was also described to be higher. In chronic hypertensive patients cyclothymic temperament score is positively associated with systolic blood pressure and in women with the earlier development of hypertension. The background of these associations is probably based on the more prevalent presence of common risk factors (smoking, obesity, alcoholism) with more pronounced cyclothymic temperament. The scientific importance of the research of the associations of personality traits including affective temperaments with somatic disorders can help in the identification of higher risk patient subgroups.]

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