Key result
Office blood pressure measurements were significantly higher than ambulatory measurements (147/89 mmHg vs 127/80 mmHg, p<0.01), and only ambulatory measurements correlated significantly with proteinuria and GFR.
Why the study?
Hypertension drives progression of CKD and nonrenal morbidity and mortality, making accurate blood pressure measurement important.
How does ambulatory blood pressure monitoring compare to office blood pressure measurement in correlating with renal complications in patients with and without CKD?
Observational (n=163)
No
How does ambulatory blood pressure monitoring compare to office blood pressure measurement in correlating with renal complications in patients with and without CKD?
Absolute Event Rate: 127% vs 147%
p-value: p=<0.01
This study aims to evaluate the correlation between office and ambulatory blood pressure monitoring in relation to renal complications such as proteinuria and GFR loss.
ABPM may better inform renal risk assessment than OBPM in CKD; leaves open whether routine adoption improves outcomes.
Hypertension is a serious risk factor in the progression of chronic kidney disease(CKD), as well as in nonrenal morbidity and mortality. The correct measurement of blood pressure, therefore, is important. In this study, it was aimed to compare the office blood pressure(OBPM) and ambulatory blood pressure monitoring(ABPM) measurements in patients with and without CKD with renal complications and other data.
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Yavuz et al. (2019) conducted an observational in Chronic Kidney Disease and Hypertension (n=163). Ambulatory blood pressure monitoring (ABPM) vs. Office blood pressure monitoring (OBPM) was evaluated on Mean systolic blood pressure (mmHg) (p=<0.01). Office blood pressure measurements were significantly higher than ambulatory measurements (147/89 mmHg vs 127/80 mmHg, p<0.01), and only ambulatory measurements correlated significantly with proteinuria and GFR.
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