Background: Chronic kidney disease (CKD) and hypertension (HTN) are closely linked, and either can cause or aggravate the other. When compared to office blood pressure, ambulatory blood pressure monitoring (ABPM) has successfully detected hypertensive CKD patients at elevated risk. ABPM provides data on circadian and short-term blood pressure fluctuation, both of which are linked to cardiovascular and renal outcomes. The role of ambulatory blood pressure monitoring in the management of hypertension in patients with chronic renal disease who are on hemodialysis on a regular basis is examined in this review.
The purpose of this study is to look into the role of ambulatory blood pressure monitoring in the management of hypertension in patients with chronic kidney disease who are on hemodialysis on a regular basis, as well as the correlation between intradialytic blood pressure and ambulatory blood pressure monitoring.
Methods: This was an observational study of CKD patients who underwent ABPM in a tertiary care centre and were on hemodialysis for more than a month. Data was gathered from clinical and ABPM records.
The study looked at a total of 100 hypertensive CKD patients. Intradialytic blood pressure was found to have a statistically significant relationship with ambulatory blood pressure. The 24 hour mean SBP, active period SBP, and passive period SBP were all linked with pre-HD SBP.
Conclusion: Intradialytic blood pressure and ambulatory blood pressure had a statistically significant relationship. Interdialytic weight gain and cholesterol are risk factors that can be changed. SBP before HD and 24 hour mean SBP were both found to be independent risk factors for IDH. Patients with greater blood pressure have a higher burden of blood pressure (intradialytic and interdialytic) and may require more severe blood pressure treatment.Author(S) Detalis
Vajed Mogal
Department of Nephrology, M.G.M. Medical College & Hospital, Aurangabad, Maharashtra, India.
View Book:- https://stm.bookpi.org/RABPMMHPCKDH/article/view/3904
No comments:
Post a Comment