Pre- and Postdialysis Blood Pressures Are Imprecise Estimates of Interdialytic Ambulatory Blood Pressure

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Pre- and postdialysis blood pressures are imprecise estimates of interdialytic ambulatory blood pressure.

BP readings that are obtained in the dialysis unit are commonly used to make therapeutic decisions by clinicians and to predict morbidity and mortality by epidemiologists. Dialysis unit BP are also incorporated in the recent guidelines to target BP control. The magnitude of the difference, overestimation or underestimation, and agreement between dialysis unit BP and ambulatory BP (ABP) are unkn...

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Intradialytic hypertension and the association with interdialytic ambulatory blood pressure.

BACKGROUND AND OBJECTIVES Increasing BP during maintenance hemodialysis or intradialytic hypertension is associated with increased morbidity and mortality. In hemodialysis patients, ambulatory BP measurements predict adverse cardiovascular outcomes better than in-center measurements. We hypothesized that patients with intradialytic hypertension have higher interdialytic ambulatory systolic BP t...

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Forty-four-hour interdialytic ambulatory blood pressure monitoring and cardiovascular risk in pediatric hemodialysis patients

BACKGROUND Children undergoing chronic hemodialysis are at risk of cardiovascular disease and often develop left ventricular hypertrophy (LVH). Twenty-four-hour ambulatory blood pressure monitoring (ABPM) is known to better predict cardiovascular morbidity than casual blood pressure (BP) measurement. Given the BP variability attributed to interdialytic fluid overload, 44-h ABPM should better de...

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Arterial stiffness and interdialytic weight gain influence ambulatory blood pressure patterns in hemodialysis patients.

Besides an overall increase in blood pressure, hemodialysis patients have marked disturbance in interdialytic ambulatory blood pressure pattern that is characterized by blunted circadian amplitude and a steady rise in blood pressure between dialysis treatments. The pathophysiology of this abnormal blood pressure profile is poorly understood. We hypothesized that the circadian amplitude, the int...

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Ambulatory blood-pressure monitoring.

Ambulatory blood pressure monitoring (ABPM) is becoming widely accepted as a clinically useful tool for assessing cardiovascular risk in hypertensive patients, although it is not generally recognized for reimbursement in the United States. There are now six major prospective studies, all of which have shown that ABPM gives a better prediction of risk than conventional clinic measurement. A coro...

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ژورنال

عنوان ژورنال: Clinical Journal of the American Society of Nephrology

سال: 2006

ISSN: 1555-9041,1555-905X

DOI: 10.2215/cjn.01891105