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January 1, 2006American Journal of Nephrology

Blood Pressure Recordings within and outside the Clinic and Cardiovascular Events in Chronic Kidney Disease

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Why the study?

Does out-of-clinic blood pressure measurement better predict cardiovascular events compared to in-clinic measurement in veterans with chronic kidney disease?

Population

217 veterans with chronic kidney disease (CKD)

Comparison

Out-of-clinic blood pressure measurement vs In-clinic blood pressure measurement

Design

Cohort

Follow-up

median 3.4 years

Authors

RARajiv AgarwalHeart Failure & TransplantMAMartin J. AndersenIndiana University School of Medicine

Discussion

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Implication

Home BP was associated with CV events in CKD veterans; leaves open whether ambulatory BP adds independent prognostic value after adjustment.

Structured PICO

Does out-of-clinic blood pressure measurement better predict cardiovascular events compared to in-clinic measurement in veterans with chronic kidney disease?

P
Population
217 veterans with chronic kidney disease (CKD)
I
Intervention
Out-of-clinic blood pressure measurement (home BP and 24-hour ambulatory BP recordings)
C
Comparator
In-clinic blood pressure measurement ('routine' and standardized methods)
O
Outcome
Combined end-point of total mortality, myocardial infarction or stroke at median 3.4 years follow-upcomposite

In veterans with CKD, while out-of-clinic BP measurements were associated with cardiovascular events, ambulatory BP was not an independent predictor after adjusting for other risk factors.

Cite This Study

Agarwal et al. (2006) studied this question.

synapsesocial.com/papers/6a83682b0609b3655ee4e716https://doi.org/10.1159/000097366

Topics

Hypertension management
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