Why the study?
Peri-dialytic blood pressure levels do not accurately diagnose hypertension or predict cardiovascular mortality in haemodialysis patients.
Does ambulatory blood pressure monitoring (iABPM and HBPM) improve hypertension diagnosis and predict mortality compared to peri-dialytic BP measurements in chronic haemodialysis patients?
Population
43 adult patients on chronic HD for ≥3 months
Design
Longitudinal study
Follow-up
6 years
Authors
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Ambulatory monitoring may refine hypertension classification and mortality risk assessment in hemodialysis; leaves open whether it improves outcomes over pre-dialysis BP.
Does ambulatory blood pressure monitoring (iABPM and HBPM) improve hypertension diagnosis and predict mortality compared to peri-dialytic BP measurements in chronic haemodialysis patients?
In chronic haemodialysis patients, 44-h iABPM and 6-day HBPM reclassify about 25% of patients misdiagnosed by pre-dialysis BP, and day-time systolic BP by iABPM predicts 6-year all-cause mortality.
Huart et al. (2024) studied this question.
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