Prevalence and control of hypertension by 48-h ambulatory blood pressure monitoring in haemodialysis patients: a study by the European Cardiovascular and Renal Medicine (EURECA-m) working group of the ERA-EDTA

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
Pantelis A SarafidisCarmine Zoccali

Abstract

Population-specific consensus documents recommend that the diagnosis of hypertension in haemodialysis patients be based on 48-h ambulatory blood pressure (ABP) monitoring. However, until now there is just one study in the USA on the prevalence of hypertension in haemodialysis patients by 44-h recordings. Since there is a knowledge gap on the problem in European countries, we reassessed the problem in the European Cardiovascular and Renal Medicine working group Registry of the European Renal Association-European Dialysis and Transplant Association. A total of 396 haemodialysis patients underwent 48-h ABP monitoring during a regular haemodialysis session and the subsequent interdialytic interval. Hypertension was defined as (i) pre-haemodialysis blood pressure (BP) ≥140/90 mmHg or use of antihypertensive agents and (ii) ABP ≥130/80 mmHg or use of antihypertensive agents. The prevalence of hypertension by 48-h ABP monitoring was very high (84.3%) and close to that by pre-haemodialysis BP (89.4%) but the agreement of the two techniques was not of the same magnitude (κ statistics = 0.648; P <0.001). In all, 290 participants were receiving antihypertensive treatment. In all, 9.1% of haemodialysis patients were categorized as normoten...Continue Reading

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Citations

May 29, 2020·European Journal of Clinical Investigation·Nikolaos TsiklirasElias V Balaskas
Apr 25, 2020·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Maria Eleni AlexandrouPantelis Sarafidis
Jan 20, 2019·Current Hypertension Reports·Michelle A FravelMony Fraer
Jan 10, 2019·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Charalampos LoutradisPantelis Sarafidis
Apr 14, 2020·Expert Opinion on Pharmacotherapy·Takashi MaruyamaMasanori Abe

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