Key result
ABPM correlates weakly with office systolic BP in renal transplant recipients.
Why the study?
How does ambulatory blood pressure monitoring compare to office blood pressure measurements in diagnosing hypertension and evaluating echocardiographic findings in renal transplant recipients?
Cross-Sectional (n=87)
How does ambulatory blood pressure monitoring compare to office blood pressure measurements in diagnosing hypertension and evaluating echocardiographic findings in renal transplant recipients?
Effect estimate: Correlation 0.275
p-value: p=0.011
There is a significant but weak correlation between office BP and ABPM in renal transplant recipients, suggesting ABPM is important for accurate hypertension diagnosis and detecting masked or white-coat hypertension in this population.
Weak office-ABPM correlation and low concordance support caution relying on office BP alone in renal transplant recipients; leaves open whether routine ABPM improves outcomes.
Hypertension is common in renal transplant recipients (RTRs). Ambulatory blood pressure (BP) monitoring (ABPM) is important in diagnosing hypertension and diurnal BP variation. The authors set out to compare office BP and ABPM measurements to determine diurnal pattern and to evaluate echocardiographic findings in RTRs. ABPM and office BP measurements were compared in 87 RTRs. Echocardiographic evaluation was performed for each patient. The correlations between office and 24-hour ABPM were 0.275 for mean systolic BP (P=.011) and 0.260 for mean diastolic BP (P=.017). Only 36.8% had concordant hypertension between office BP and ABPM, with a masked hypertension rate of 16.1% and white-coat effect rate of 24.1%. Circadian BP patterns showed a higher proportion of nondippers (67.8%). Left ventricular mass index was increased in 21.8% of all recipients. There was a significant but weak correlation between office BP and ABPM.
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Demirkol et al. (2015) conducted a cross-sectional in Renal transplant recipients (n=87). Ambulatory blood pressure monitoring (ABPM) vs. Office BP measurements was evaluated on Correlation between office and 24-hour ABPM for mean systolic BP (Correlation 0.275, p=0.011). Ambulatory blood pressure monitoring showed a significant but weak correlation with office BP measurements for mean systolic BP (r=0.275, P=0.011) in renal transplant recipients.
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