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.
机构:
Sichuan Univ, West China Hosp, Hlth Management Ctr, Gen Practice Ctr, Chengdu, Peoples R ChinaSichuan Univ, West China Hosp, Hlth Management Ctr, Gen Practice Ctr, Chengdu, Peoples R China
Gao, Wei
Jin, Yanwen
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Sichuan Univ, West China Hosp, Biliary Surg, Chengdu, Peoples R ChinaSichuan Univ, West China Hosp, Hlth Management Ctr, Gen Practice Ctr, Chengdu, Peoples R China
Jin, Yanwen
Bao, Ting
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Sichuan Univ, West China Hosp, Hlth Management Ctr, Gen Practice Ctr, Chengdu, Peoples R ChinaSichuan Univ, West China Hosp, Hlth Management Ctr, Gen Practice Ctr, Chengdu, Peoples R China
Bao, Ting
Huang, Yan
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Sichuan Univ, West China Hosp, Hlth Management Ctr, Gen Practice Ctr, Chengdu, Peoples R ChinaSichuan Univ, West China Hosp, Hlth Management Ctr, Gen Practice Ctr, Chengdu, Peoples R China
机构:
Sichuan Univ, West China Hosp, Hlth Management Ctr, Gen Practice Ctr, Chengdu, Peoples R ChinaSichuan Univ, West China Hosp, Hlth Management Ctr, Gen Practice Ctr, Chengdu, Peoples R China
Gao, Wei
Jin, Yanwen
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机构:
Sichuan Univ, West China Hosp, Biliary Surg, Chengdu, Peoples R ChinaSichuan Univ, West China Hosp, Hlth Management Ctr, Gen Practice Ctr, Chengdu, Peoples R China
Jin, Yanwen
Bao, Ting
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h-index: 0
机构:
Sichuan Univ, West China Hosp, Hlth Management Ctr, Gen Practice Ctr, Chengdu, Peoples R ChinaSichuan Univ, West China Hosp, Hlth Management Ctr, Gen Practice Ctr, Chengdu, Peoples R China
Bao, Ting
Huang, Yan
论文数: 0引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Hosp, Hlth Management Ctr, Gen Practice Ctr, Chengdu, Peoples R ChinaSichuan Univ, West China Hosp, Hlth Management Ctr, Gen Practice Ctr, Chengdu, Peoples R China