دورية أكاديمية
أعرض في EDS

Association between chronic kidney disease stages and changes in ambulatory blood pressure monitoring parameters.

التفاصيل البيبلوغرافية
العنوان: Association between chronic kidney disease stages and changes in ambulatory blood pressure monitoring parameters.
المؤلفون: Nagahama AM; Universidade Estadual Paulista 'Júlio de Mesquita Filho', Faculdade de Medicina, Botucatu, SP, Brazil., Silva VDS; Universidade Estadual Paulista 'Júlio de Mesquita Filho', Faculdade de Medicina, Botucatu, SP, Brazil., Banin VB; Universidade Estadual Paulista 'Júlio de Mesquita Filho', Faculdade de Medicina, Botucatu, SP, Brazil., Franco RJDS; Universidade Estadual Paulista 'Júlio de Mesquita Filho', Faculdade de Medicina, Botucatu, SP, Brazil., Barretti P; Universidade Estadual Paulista 'Júlio de Mesquita Filho', Faculdade de Medicina, Botucatu, SP, Brazil., Bazan SGZ; Universidade Estadual Paulista 'Júlio de Mesquita Filho', Faculdade de Medicina, Botucatu, SP, Brazil., Martin LC; Universidade Estadual Paulista 'Júlio de Mesquita Filho', Faculdade de Medicina, Botucatu, SP, Brazil.
المصدر: Jornal brasileiro de nefrologia [J Bras Nefrol] 2024 Jun 17; Vol. 46 (3), pp. e20230066. Date of Electronic Publication: 2024 Jun 17 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English; Portuguese
بيانات الدورية: Publisher: Sociedade Brasileira de Nefrologia Country of Publication: Brazil NLM ID: 9426946 Publication Model: eCollection Cited Medium: Internet ISSN: 2175-8239 (Electronic) Linking ISSN: 01012800 NLM ISO Abbreviation: J Bras Nefrol Subsets: MEDLINE
أسماء مطبوعة: Publication: São Paulo : Sociedade Brasileira de Nefrologia
Original Publication: São Paulo, Brazil : Associação Medica Brasileira
مواضيع طبية MeSH: Blood Pressure Monitoring, Ambulatory* , Renal Insufficiency, Chronic*/complications , Renal Insufficiency, Chronic*/physiopathology , Hypertension*/complications , Hypertension*/physiopathology, Humans ; Cross-Sectional Studies ; Male ; Female ; Middle Aged ; Blood Pressure/physiology ; Aged ; Disease Progression ; Adult ; Severity of Illness Index
مستخلص: Introduction: Blood pressure (BP) assessment affects the management of arterial hypertension (AH) in chronic kidney disease (CKD). CKD patients have specific patterns of BP behavior during ambulatory blood pressure monitoring (ABPM).
Objectives: The aim of the current study was to evaluate the associations between progressive stages of CKD and changes in ABPM.
Methodology: This is a cross-sectional study with 851 patients treated in outpatient clinics of a university hospital who underwent ABPM examination from January 2004 to February 2012 in order to assess the presence and control of AH. The outcomes considered were the ABPM parameters. The variable of interest was CKD staging. Confounding factors included age, sex, body mass index, smoking, cause of CKD, and use of antihypertensive drugs.
Results: Systolic BP (SBP) was associated with CKD stages 3b and 5, irrespective of confounding variables. Pulse pressure was only associated with stage 5. The SBP coefficient of variation was progressively associated with stages 3a, 4 and 5, while the diastolic blood pressure (DBP) coefficient of variation showed no association. SBP reduction was associated with stages 2, 4 and 5, and the decline in DBP with stages 4 and 5. Other ABPM parameters showed no association with CKD stages after adjustments.
Conclusion: Advanced stages of CKD were associated with lower nocturnal dipping and greater variability in blood pressure.
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تواريخ الأحداث: Date Created: 20240617 Date Completed: 20240617 Latest Revision: 20240628
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC11205976
DOI: 10.1590/2175-8239-JBN-2023-0066en
PMID: 38885435
قاعدة البيانات: MEDLINE
الوصف
تدمد:2175-8239
DOI:10.1590/2175-8239-JBN-2023-0066en