Comparing the frequency of hypertension determined by peri-dialysis measurement and ABPM in hemodialysis patients

Abbasi, Mohammad-Reza; Lessan‐Pezeshki, Mahboob; Najafi, Maryam; Gatmiri, S.M.; Karbakhsh, Mojgan; Mohebi-Nejad, Azin

doi:10.3109/0886022x.2014.883933

Cited by 2 publications

(5 citation statements)

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“…ст. -62 и 28 % соответственно [26,27]. Столь высокая частота неконтролируемой АГ у пациентов с ТПН объясняется гемодинамической перегрузкой, повышенной активностью РААС и симпатической нервной системы, гиперпаратиреозом и кальцификацией артерий [24].…”

Section: Discussionunclassified

“…В исследовании Abbasi M. было показано, что при использовании в качестве порогового значения АГ среднесуточное АД >130 / 80 мм рт. ст., частота АГ составляет 66 % [26]. По нашим данным, при использовании аналогичного критерия частота АГ составила 73,5 %.…”

Section: Discussionunclassified

“…Распространенность ложной неконтролируемой АГ (АГ «белого халата») в популяции пациентов с ТПН и ГД, по данным разных исследований, варьирует от 7 до 30 % [26,28]. В нашем исследовании она была выявлена у 14 % больных для периферического АД и у 10,5 % -для центрального.…”

Section: Discussionunclassified

“…В нашем исследовании она была выявлена у 14 % больных для периферического АД и у 10,5 % -для центрального. По данным различных исследований, «маскированная» АГ в общей популяции пациентов составляет от 8 до 20 % и является предиктором сердечно-сосудистых рисков [19], у пациентов на ГД ее частота варьирует от 3,8 до 70 % [19,26,[28][29][30][31][32]. В нашем исследовании она диагностирована у 9 % по периферическому АД и у 1,8 % по центральному.…”

Section: Discussionunclassified

“…Благодаря СМАД появилось больше данных о взаимосвязи между циркадными изменениями АД и повреждением органов-мишеней. Установлено, что у пациентов с ТПН, находящихся на терапии ГД, отсутствие суточных колебаний и снижения АД в ночное время отмечается в 74-82 % случаев [20,26]. Наши результаты согласуются с литературными данными: частота нарушений суточного профиля у обследованных пациентов составила 77 %.…”

Section: Discussionunclassified

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Office and 44-hour ambulatory blood pressure and central haemodynamic parameters in the patients with end-stage renal diseases undergoing haemodialysis

et al. 2019

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Aim. To assess the incidence of blood pressure (BP) control and various phenotypes of BP by comparing the results of office and 44-hour ambulatory brachial and central BP measurement in patients with end-stage renal disease (ESRD) on program hemodialysis (HD).Materials and methods. In 68 patients ESRD receiving renal replacement therapy we evaluated office peridialysis BP and performed 44-hour ambu latory monitoring (ABPM) of brachial and central BP during peridialysis period using a validated oscillometric device BPLabVasotens (OOO “Petr Telegin”). Results were considered statistically significant with p<0.05.Results. The frequency of control of peripheral office BP before the HD session was 25%, after – 23.5%; control of central BP – 48.6% and 49%, respectively. According to office measurement the frequency of systolic-diastolic hypertension was 44.1%, isolated systolic hypertension – 25%, isolated diastolic hypertension – 5.9%. The values of peripheral and central office systolic BP (SBP) before and after HD were not consistent with the corresponding mean and daily SBP levels for 44 hours and for the first and second days of the interdialysis period. The frequency of true uncontrolled arterial hypertension (AH) according to peripheral ABPM was 66.5%, masked uncontrolled AH – 9%. Circadian rhythm abnormalities for 44-h peripheral BP were detected in 77%, for central – in 76%. In 97% of patients agreement between phenotypes of the daily profile of peripheral and central BP was observed. 73% of patients had a significant increase in peripheral and central SBP and pulse pressure (PP) and an increase in the proportion of non-dippers from the 1st to the 2nd day.Conclusion. Patients with ESRD on HD were characterized by poor control of BP control and predominance of unfavourable peripheral and central ambulatory BP phenotypes. A single measurement of clinical peripheral and central BP in the peridialysis period was not sufficient to assess the control of hypertension in this population. The 24-h BP profiles in the 1st and 2nd days of interdialysis period had significant differences.

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Office and 44-hour ambulatory blood pressure and central haemodynamic parameters in the patients with end-stage renal diseases undergoing haemodialysis

et al. 2019

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Hypertension in psoriasis patients: based on office and ambulatory blood pressure measurement

Abedini

Najafi

Azizpour

et al. 2020

Blood Pressure Monitoring

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Objective Psoriasis is a chronic inflammatory disorder, which is associated with high risk of metabolic comorbidities. Hypertension (HTN) is among the most common and serious associations. In this study, we aimed to evaluate HTN in psoriatic patients through office and ambulatory blood pressure monitoring (ABPM). Materials and methods Forty-nine patients with confirmed diagnosis of psoriasis were enrolled in the study. Office measurement of blood pressure was performed and then holter monitoring was used for 24-h ABPM. Results Thirty-six patients (73.4%) had HTN including 13 females (36.1%) and 23 males (63.9%) (P = 0.011). Twelve patients (33.3%) had masked HTN (six females and six males). Office, 24-h, morning, daytime, and nocturnal HTN were present in 49%, 40.8%, 34.7%, 36.7%, and 63.3% of our patients, respectively. The only factor significantly related to morning/daytime/24 h HTN was age, which hypertensive patients had higher age. About 22.4% of patients had metabolic syndrome, which was significantly associated with FBS, weight, waist circumference, and BMI. Conclusion Psoriasis is associated with a high rate of HTN. Masked HTN constitutes nearly one-third of hypertensive patients. ABPM increases the accuracy of HTN detection in psoriatic patients.

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Comparing the frequency of hypertension determined by peri-dialysis measurement and ABPM in hemodialysis patients

Cited by 2 publications

References 30 publications

Office and 44-hour ambulatory blood pressure and central haemodynamic parameters in the patients with end-stage renal diseases undergoing haemodialysis

Office and 44-hour ambulatory blood pressure and central haemodynamic parameters in the patients with end-stage renal diseases undergoing haemodialysis

Hypertension in psoriasis patients: based on office and ambulatory blood pressure measurement

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