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November 1, 1999Nephrology Dialysis TransplantationOpen Access

Ambulatory blood pressure monitoring in patients receiving long, slow home haemodialysis

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Why the study?

Does long, slow home haemodialysis provide satisfactory blood pressure control in haemodialysis patients?

Population

24 patients on home haemodialysis for 52.9+/-39 months, dialysed for 7.2+/-1.1 h thrice weekly, mean age…

Design

Cross-sectional

Authors

DMDavid O. McGregorABAdrian L. ButtimoreMNM. Gary Nicholls

Discussion

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Overview

Satisfactory daytime BP control is achieved without drugs in most patients; leaves open whether persistent abnormal circadian rhythms and high LVH prevalence limit outcomes.

Structured PICO

Does long, slow home haemodialysis provide satisfactory blood pressure control in haemodialysis patients?

P
Population
24 patients on home haemodialysis (HD) for 52.9+/-39 months, dialysed for 7.2+/-1.1 h thrice weekly, mean age 52.7+/-11 years.
I
Intervention
Long, slow home haemodialysis (7.2+/-1.1 h thrice weekly)
O
Outcome
Blood pressure control assessed by ambulatory blood pressure monitoring (ABPM)surrogate

While long, slow home haemodialysis provides satisfactory daytime blood pressure control without antihypertensive drugs in most patients, abnormal circadian blood pressure rhythms and left ventricular hypertrophy remain highly prevalent.

Cite This Study

McGregor et al. (1999) studied this question.

synapsesocial.com/papers/6a72c57aa528af2d65c4893dhttps://doi.org/10.1093/ndt/14.11.2676
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Interdialysis blood pressure control by long haemodialysis sessions1995 · 112 citations
  2. 2The Clinical Utility of Blood Pressure Load in Hypertension1993 · 34 citations
  3. 3Echocardiographic determination of left ventricular mass in man. Anatomic validation of the method.1977 · 4,502 citations
  4. 4Hypertension is Not Adequately Controlled in Hemodialysis Patients1992 · 184 citations
  5. 5Circadian blood pressure changes and left ventricular hypertrophy in essential hypertension.1990 · 1,230 citations