Abstract |
The role of ambulatory blood pressure (BP) monitoring (ABPM) has not been well-studied in patients with chronic kidney disease and resistant hypertension. In a retrospective study of the outpatient chronic kidney disease population, 156 patients with chronic kidney disease and resistant hypertension who had 24-hour ABPM and clinic BP measurements were identified. Resistant hypertension was defined as uncontrolled clinic BP while taking ≥ 3 medications including a diuretic or controlled BP while taking ≥ 4 medications. Within the study group, ambulatory BP <130/80 mm Hg was found in 35.9% of all patients. Only 6.4% had both ambulatory and clinic BP <130/80 mm Hg. Prevalence of white-coat hypertension, masked hypertension, and sustained hypertension were 29.5%, 5.8%, and 58.3%, respectively. Compared with patients with sustained hypertension, more patients in the white-coat hypertension group had low nocturnal average systolic BP (defined as nocturnal average systolic BP <100 mm Hg) (17.4% vs 0%) and low 24-hour average diastolic BP (defined as 24-hour average diastolic BP <60 mm Hg) (52.2% vs 22%, P<.01). ABPM provides more reliable assessment of BP in patients with chronic kidney disease and resistant hypertension.
|
Authors | Salman Shafi, Erdal Sarac, Huy Tran |
Journal | Journal of clinical hypertension (Greenwich, Conn.)
(J Clin Hypertens (Greenwich))
Vol. 14
Issue 9
Pg. 611-7
(Sep 2012)
ISSN: 1751-7176 [Electronic] United States |
PMID | 22947359
(Publication Type: Journal Article)
|
Copyright | © 2012 Wiley Periodicals, Inc. |
Topics |
- Blood Pressure
- Blood Pressure Monitoring, Ambulatory
(methods)
- Female
- Humans
- Hypertension
(complications)
- Male
- Prevalence
- Renal Insufficiency, Chronic
(complications)
- Retrospective Studies
- White Coat Hypertension
(diagnosis, etiology)
|