Ambulatory vs Office Blood Pressure Monitoring in Renal Transplant Recipients

被引:35
作者
Ahmed, Jafar [1 ]
Ozorio, Valerie [1 ]
Farrant, Maritza [1 ]
Van Der Merwe, Walter [1 ]
机构
[1] North Shore Hosp, Dept Renal Med, Waitemata Dist Hlth Board, Auckland 0740, New Zealand
关键词
HYPERTENSION; DIAGNOSIS; ASSOCIATION;
D O I
10.1111/jch.12448
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Hypertension is common following renal transplantation and has adverse effects on cardiovascular and graft health. Ambulatory blood pressure monitoring (ABPM) is better at overall blood pressure (BP) assessment and is necessary to diagnose nocturnal hypertension, which is also implicated in poor outcomes. The authors performed a retrospective analysis of 98 renal transplant recipients (RTRs) and compared office BP and ambulatory BP recordings. ABPM revealed discordance between office BP and ambulatory BP in 61% of patients, with 3% caused by white-coat and 58% caused by masked hypertension (of which 33% were caused by isolated nocturnal hypertension). Overall, mean systolic BP was 3.6mmHg (0.5-6.5) and diastolic BP was 7.5mmHg (5.7-9.3) higher via ambulatory BP than office BP. This was independent of estimated glomerular filtration rate, proteinuria, transplant time/type, and comorbidities. A total of 42% of patients had their management changed after results from ABPM. ABPM should be routinely offered as part of hypertension management in RTRs.
引用
收藏
页码:46 / 50
页数:5
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