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November 6, 2025American Journal of Hypertension

Association of Dialysis Shift with Morning Surge in Blood Pressure and Dipping Pattern

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Authors

MTMarieta P. TheodorakopoulouFIFotini IatridiAKArtemios G Karagiannidis

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Overview

Observational study finds higher morning blood pressure surges in hemodialysis patients on morning shifts, suggesting potential cardiovascular risks.

Key Points

  • Evaluate the association between dialysis timing and morning blood pressure surge in hemodialysis patients.
  • 113 patients on morning shift matched with 113 on midday/evening shifts
  • 48-hour ambulatory blood pressure monitoring conducted
  • Morning blood pressure surge calculated using pre-awakening, sleep-trough, and rising definitions.
  • Morning shift patients exhibited higher mean sleep-through SBP/DBP surges (SBP: 18.71 vs 14.22 mmHg, P = .005)
  • Pre-awakening SBP/DBP surges were higher in morning shift patients (SBP: 12.05 vs 9.46 mmHg, P = .020)
  • Dipping patterns were similar across groups.

Cite This Study

Theodorakopoulou et al. (2025) studied this question.

synapsesocial.com/papers/69253a39c0ce034ddc357e1chttps://doi.org/10.1093/ajh/hpaf218
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