Liječnički vjesnik, Vol. 146 No. 7-8, 2024.
Original scientific paper
https://doi.org/10.26800/LV-146-7-8-5
Blood pressure phenotypes defined by ambulatory blood pressure monitoring in patients with chronic kidney disease – single-center experience
Vedad Herenda
*
Damir Rebić
Senad Hasanspahić
Aida Hamzić-Mehmedbašić
Azra Ribić-Mrkonja
Merima Odobašić
* Corresponding author.
Abstract
BACKGROUND. Depending on results of ambulatory blood pressure monitoring (ABPM) patients have different hypertension profiles and some large international studies tried to examine and compare ABPM profile of patients in different countries. In our study we tried to establish hypertension profiles of our patients. MATERIALS AND METHODS. This is retrospective, cross-sectional study from October 2022 to April 2023. Demographic, clinical and 24-hour ambulatory blood-pressure data were examined. Patients were divided in several
categories according to their hypertension phenotypes and dipping profiles. Analyses were conducted with descriptive statistics. RESULTS. 94 patients were included in study. During follow up 12 patients died. White-coat hypertension was the most common hypertension phenotype in our patients 30.8%, the second largest group was sustained uncontrolled hypertension (29.7%). Also, we have found high prevalence of non-dippers systolic (43.6%) and reverse dipper diastolic (42.5%). The results shows highly significant differences between group who was alive and group who died, with having p < 0.001, which indicates that the dipping status of blood pressure is associated with the survival outcomes. CONCLUSIONS. The prevalence of high-risk BP profile in renal patients is high. Due to elevated nocturnal BP clinic BP monitoring alone is inadequate. ABPM should become golden standard to confirm adequate BP control in patients with kidney disease.
Keywords
BLOOD PRESSURE MONITORING, AMBULATORY – statistics and numerical data; HYPERTENSION – complications, diagnosis, epidemiology; WHITE COAT HYPERTENSION – diagnosis, epidemiology; MASKED HYPERTENSION – diagnosis, epidemiology; RENAL INSUFFICIENCY, CHRONIC – complications, mortality; PHENOTYPE; PROGNOSIS
Hrčak ID:
320256
URI
Publication date:
30.8.2024.
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