Ambulatory Blood Pressure in Chronic Kidney Disease

被引:34
作者
Cohen, Debbie L. [1 ]
Huan, Yonghong [1 ]
Townsend, Raymond R. [1 ]
机构
[1] Univ Penn, Perelman Sch Med, Renal Electrolyte & Hypertens Div, Philadelphia, PA 19104 USA
关键词
Chronic kidney disease; CKD; Ambulatory blood pressure monitoring; ABPM; Hypertension; Cardiovascular risk; Dipping; Reverse dipping; GLOMERULAR-FILTRATION-RATE; CARDIOVASCULAR RISK; NOCTURNAL DECLINE; AFRICAN-AMERICAN; PROGNOSTIC VALUE; HYPERTENSION; RECORDINGS; ASSOCIATION; BP;
D O I
10.1007/s11906-013-0339-2
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Chronic kidney disease (CKD) affects approximately 20 million adults in the United States. Patients with CKD have an increased risk of cardiovascular (CV) disease. Ambulatory blood pressure monitoring (ABPM) provides superior BP measurements when compared to office BP measurements in normotensive, hypertensive and CKD patients. ABPM measurements are often abnormal in CKD, with CKD patients frequently showing an altered circadian rhythm with an increased rate of non-dipping and reverse dipping. The prevalence of non-dippers and reverse-dippers increases progressively as stage of CKD progresses. ABPM has been shown to be a better tool for predicting CV risk, CKD progression, end stage renal disease (ESRD) or death than office-based pressures. ABPM is also additive and adds prognostic value for predicting CKD and CV outcomes when added to estimated glomerular filtration rate (eGFR). Although ABPM is time consuming, it is worth considering, as the data demonstrates that information from ABPM can potentially impact future CV and renal outcomes in patients with CKD.
引用
收藏
页码:160 / 166
页数:7
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