Usefulness of ambulatory blood pressure monitoring in chronic kidney disease : the Moroccan experience
Joint Authors
Bu Zirdah, Abd al-Majid
Soukrate, Safia
Bin Driss, Layla
Khaturi, Ali
Maoujoud, Umar
al-Siraji, Muhammad
Zemrawi, Nadir
Bilarabi, Marwan
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 30, Issue 4 (31 Aug. 2019), pp.913-918, 6 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2019-08-31
Country of Publication
Saudi Arabia
No. of Pages
6
Main Subjects
Topics
Abstract EN
Among patients with chronic kidney disease (CKD), hypertension (HTN) is very common and widely recognized to accelerate the progression of CKD and increase the risk for cardiovascular events.
Accumulated data indicate that ambulatory blood pressure monitoring (ABPM) is better in detecting HTN than office blood pressure (BP) measurement.
The goal of this study is to describe the ABPM characteristics in a group of CKD and hypertensive patients.
A transversal study was conducted over a period of six months, to evaluate the ABPM patterns among a group of hypertensive patients with CKD (Group 1) and compared the data with a control group (Group 2).
ABPM was performed with measurement rate every 15 min during daytime and 30 min at night.
Nondipping BP patterns were defined as the absence of fall in nocturnal systolic and diastolic BP >10% of daytime values.
Masked HTN was defined as controlled office BP (<140/90 mm Hg) with an elevated overall average BP by 24-h ABPM (>125/75 mm Hg), and white-coat HTN was defined as association of elevated BP readings (>140/90 mm Hg) in a clinical setting and normal 24-h average BP levels (<130/80 mm Hg).
Fifty patients were included in each group.
HTN was much longer in duration among hypertensive patients with CKD and frequently associated with obesity, dyslipidemia, and diabetes (64% vs.
39.60%).
Positive proteinuria was present in 82% of CKD patients with HTN.
CKD patients with HTN received more antihypertensive drugs than Group 2 patients.
HTN was much more uncontrolled among CKD patients (60% vs.
24%), more serious with higher daytime and nighttime SBP, and loss of physiologic dipping during nighttime BP measurement (80%).
Out-
American Psychological Association (APA)
al-Siraji, Muhammad& Bu Zirdah, Abd al-Majid& Soukrate, Safia& Maoujoud, Umar& Bilarabi, Marwan& Zemrawi, Nadir…[et al.]. 2019. Usefulness of ambulatory blood pressure monitoring in chronic kidney disease : the Moroccan experience. Saudi Journal of Kidney Diseases and Transplantation،Vol. 30, no. 4, pp.913-918.
https://search.emarefa.net/detail/BIM-893742
Modern Language Association (MLA)
al-Siraji, Muhammad…[et al.]. Usefulness of ambulatory blood pressure monitoring in chronic kidney disease : the Moroccan experience. Saudi Journal of Kidney Diseases and Transplantation Vol. 30, no. 4 (Jul. / Aug. 2019), pp.913-918.
https://search.emarefa.net/detail/BIM-893742
American Medical Association (AMA)
al-Siraji, Muhammad& Bu Zirdah, Abd al-Majid& Soukrate, Safia& Maoujoud, Umar& Bilarabi, Marwan& Zemrawi, Nadir…[et al.]. Usefulness of ambulatory blood pressure monitoring in chronic kidney disease : the Moroccan experience. Saudi Journal of Kidney Diseases and Transplantation. 2019. Vol. 30, no. 4, pp.913-918.
https://search.emarefa.net/detail/BIM-893742
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 917-918
Record ID
BIM-893742