2018
DOI: 10.1159/000489749
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Different Relevance of Peripheral, Central or Nighttime Blood Pressure Measurements in the Prediction of Chronic Kidney Disease Progression in Patients with Mild or No-Proteinuria

Abstract: Background/Aims: Arterial hypertension is one of the leading factors aggravating the course of chronic kidney disease (CKD). It seems that the novel parameters used in the assessment of the blood pressure (BP) load (i.e. central blood pressure, nighttime blood pressure) may be more precise in predicting the cardiovascular risk and the progression of CKD in comparison with the traditional peripheral blood pressure measurements in the office conditions. The aim of the study was to assess the impact of the centra… Show more

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Cited by 8 publications
(9 citation statements)
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References 35 publications
(36 reference statements)
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“…13 Hypertension, diabetes, and proteinuria are well-recognized risk factors for progressive kidney function loss. 14 Pulse pressure is a measure of pulsatile character, it is possible that PP captures more dynamic information through the cardiac cycle than does a PWV alone, which measures distance over time.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…13 Hypertension, diabetes, and proteinuria are well-recognized risk factors for progressive kidney function loss. 14 Pulse pressure is a measure of pulsatile character, it is possible that PP captures more dynamic information through the cardiac cycle than does a PWV alone, which measures distance over time.…”
Section: Discussionmentioning
confidence: 99%
“…Chronic kidney disease is a worldwide health burden due to the high prevalence and associated cardiovascular morbidity and mortality . Hypertension, diabetes, and proteinuria are well‐recognized risk factors for progressive kidney function loss . In a longitudinal study conducted in essential hypertensive patients who initially untreated, within a mean follow‐up period of 14 years, blood pressure emerged as the main determinant of the decline in renal function .…”
Section: Discussionmentioning
confidence: 99%
“…CKD represents a significant public health problem because of the high prevalence and associated cardiovascular morbidity and mortality. Traditionally, hypertension, diabetes, and proteinuria are well-recognized risk factors for progressive renal function loss [22]. However, these traditional factors are inadequate to predict CKD risk and improve risk stratification for progression of kidney injury [23][24].…”
Section: Discussionmentioning
confidence: 99%
“…[23] In another study, patients with CKD stages 3 or 4 and mild or no-proteinuria, peripheral and central BP did not change significantly during a one-year observation period despite the significant decline of eGFR and seems not to participate in the CKD progression. [24] One recent study, central BP in patients with CKD stage 3 and albuminuria were compared with matched patients without CKD, and there were no significant differences of central BP parameters between these two groups of patients[25] like us and suggested that the kidney function has impact of on central BP, may be only in more advanced CKD. [26] This also raises a question concerning the importance of targeting these parameters in early stages of CKD.…”
Section: Discussionmentioning
confidence: 99%