Ambulatory blood pressure monitoring in dialysis patients and estimation of mean interdialytic blood pressure

Coomer, Roger W.; Schulman, Gerald; Breyer, Joan P.; Shyr, Yu

doi:10.1016/s0272-6386(97)90119-0

Cited by 77 publications

(44 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Hence, rate of hypertension in haemodialysis patients is lower than CAPD in the first day of monitoring (8% vs 32%, P = 0.02). Our results were consistent with results by the Coomer et al 8 It could be proposed that haemodialysis has less cardiovascular risk regarding BP characteristics as compared with CAPD at the first day of haemodialysis. However, the circadian BP rhythm, which is reported as another predictor of cardiac mortality, 17,18 is more deteriorated in the first day in haemodialysis patients as compared with CAPD patients.…”

Section: Discussionsupporting

confidence: 93%

“…In contrast to these findings, a number of studies reported low prevalence of diurnal variation of BP in both groups. 8,20,21 In our study, the rate of non-dippers was found to be significantly higher in haemodialysis patients than that of CAPD patients (75% vs 13%, PϽ0.001). Although a number of factors such as autonomic dysfunction, increase in plasma volume, heart failure and sleep disorders have been implicated for abnormal circadian rhythm of BP in dialysis patients, the main reason of it was unclear.…”

Section: Discussionsupporting

confidence: 39%

“…In most of the comparative studies for BP control, it was reported that hypertension is better controlled by haemodialysis than CAPD. 6,8,16 However, Rodby et al 9 reported haemodialysis is associated with higher systolic blood pressures than peritoneal dialysis. The differences in the results of the studies are probably due to the differences in volume status of the patients.…”

Section: Discussionmentioning

confidence: 99%

“…However, there are limited numbers of studies comparing haemodialysis and CAPD treatments in respect to BP control by using ABPM over a longer period of time. 8,9 The aim of this study was to compare the results of the 44-h ABPM data between haemodialysis and CAPD patients and to investigate the relation of circadian rhythm in BP with development of LVH.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Ambulatory blood pressure monitoring in haemodialysis and continuous ambulatory peritoneal dialysis (CAPD) patients

et al. 2002

View full text Add to dashboard Cite

The aim of this study was to compare the results of the 44-h ambulatory blood pressure monitoring (ABPM) data between haemodialysis (HDp) and CAPD patients and to investigate the relation of circadian rhythm in blood pressure (BP) with development of left ventricular hypertrophy. Twenty-two HDp (11 male, 11 female, mean age: 50 ± 17 years) and 24 CAPDp (11 male, 13 female, mean age: 47 ± 15 years) were included. Echocardiographic measurements and ABPM were performed in all study groups. ABPM of the first and second days were analysed separately and compared with CAPDp. Left ventricular hypertrophy was detected in 17 of the 22 HDp (77%) and 17 of the 24 CAPDp (71%). There was no significant differences between HD and CAPDp in respect to 44-h, daytime and night-time systolic and diastolic BP values. Although the course of BP in CAPDp was stable during the 44-h period, systolic and diastolic BP levels on the second day were significantly higher than those of on the first day in HDp (P Ͻ 0.001

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 39%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ambulatory blood pressure monitoring in haemodialysis and continuous ambulatory peritoneal dialysis (CAPD) patients

et al. 2002

View full text Add to dashboard Cite

show abstract

“…In studies in which the pre/postdialysis BP and ABP were reported separately for two groups (21)(22)(23)(24)(25), results were pooled by taking the square root of the weighted average of the variances. In two studies, the correlation coefficients between ABP and pre/ postdialysis BP but not the SD of the routine BP were reported (26,27). Data from these studies were used to calculate pooled correlation coefficients but not for calculating the weighted mean difference between BP.…”

Section: Resultsmentioning

confidence: 99%

Pre- and Postdialysis Blood Pressures Are Imprecise Estimates of Interdialytic Ambulatory Blood Pressure

Agarwal

Peixoto

Santos

et al. 2006

Clinical Journal of the American Society of Nephrology

211

154

View full text Add to dashboard Cite

H ypertension is perhaps one of the most pervasive problems of patients with ESRD. Although current guidelines that focus on cardiovascular disease in dialysis patients call for hypertension control as a top priority, the vast majority of patients who are on hemodialysis are hypertensive and control rates are poor (1). For practical reasons, BP assessment and antihypertensive treatment in patients with ESRD is performed on the basis of measurements that are made either immediately before or after dialysis. Such timehonored practice is widely accepted and formally recommended by clinical guidelines. The recent National Kidney Foundation Kidney Disease Outcomes Quality Initiative guidelines suggest that predialysis and postdialysis BP should be Ͻ140/90 and Ͻ130/80 mmHg, respectively (2).Population-based studies, including the recent Pressioni Arteriose Monitorate e Loro Associazioni (PAMELA) (3) and Ohasama studies (4) and studies on patients who had hypertension and were referred to a specialist clinic in the Dublin Outcome Study (5), have demonstrated clearly that ambulatory BP monitoring (ABPM) provides more accurate prognostic information than office BP, an issue that seems to be of particular relevance in the elderly. In a recent analysis of the ABPM substudy of the Systolic Hypertension in Europe (Syst-Eur) trial (6), ABPM and clinic BP did not identify the same patients for antihypertensive treatment, and ABPM was a better predictor of cardiovascular outcomes than clinic BP. These considerations are of relevance to patients with ESRD because uremia is a strong catalyst of the aging process and because patients with ESRD are older, with an average age of 60 yr.Given that the population with ESRD is elderly and the relationship between ABPM and cardiovascular outcomes and total mortality has scarcely been studied, we examined the magnitude of the difference between ABPM and pre/postdialysis BP. We hypothesized that if there were substantial differences, especially when differences between the two methods of measurements were unpredictable, then the two methods of measurement may have differing prognostic significance. The primary objective of this systematic analysis was to determine the magnitude of the difference and the variability in the difference between BP that is recorded in the dialysis environment, before and after the dialysis procedure, and ABPM that is performed simultaneously in the hemodialysis population. Materials and MethodsPublished studies that had reported paired ABP and pre/postdialysis BP in patients who were undergoing conventional three times a Published online ahead of print. Publication date available at www.cjasn.org.

show abstract

Clinical Determination of Dry Body Weight

Charra

Gadrey

Hurot

et al. 2001

Hemodialysis International

View full text Add to dashboard Cite

Ambulatory blood pressure monitoring in dialysis patients and estimation of mean interdialytic blood pressure

Cited by 77 publications

References 38 publications

Ambulatory blood pressure monitoring in haemodialysis and continuous ambulatory peritoneal dialysis (CAPD) patients

Ambulatory blood pressure monitoring in haemodialysis and continuous ambulatory peritoneal dialysis (CAPD) patients

Pre- and Postdialysis Blood Pressures Are Imprecise Estimates of Interdialytic Ambulatory Blood Pressure

Clinical Determination of Dry Body Weight

Contact Info

Product

Resources

About