Key result
Home and ambulatory blood pressure monitoring better predict end-organ damage and mortality outcomes in patients with chronic kidney disease, with masked hypertension observed in about 8% of patients.
Why the study?
Does home and ambulatory blood pressure monitoring improve the prediction of end-organ damage and mortality compared to clinic blood pressure monitoring in patients with chronic kidney disease?
Population
Patients with chronic kidney disease (CKD), including those on hemodialysis
Comparison
Home and ambulatory blood pressure monitoring vs Clinic blood pressure monitoring
Design
Review
Authors
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May support preferring out-of-office BP monitoring in CKD for risk stratification; leaves open impact on outcomes in prospective trials.
Does home and ambulatory blood pressure monitoring improve the prediction of end-organ damage and mortality compared to clinic blood pressure monitoring in patients with chronic kidney disease?
Home and ambulatory blood pressure monitoring are recommended over clinic measurements for diagnosing and managing hypertension in patients with CKD, as they better predict end-organ damage and mortality.
Rajiv Agarwal (2009) conducted a review in Chronic kidney disease (CKD) and hypertension. Home and ambulatory blood pressure monitoring vs. Clinic blood pressure monitoring was evaluated. Home and ambulatory blood pressure monitoring better predict end-organ damage and mortality outcomes in patients with chronic kidney disease, with masked hypertension observed in about 8% of patients.
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