Key result
Ambulatory blood pressure monitoring revealed a higher prevalence of non-dipping blood pressure patterns in hemodialysis-dependent CKD patients (28%) compared to non-dialysis CKD patients (16%).
Why the study?
The prognostic role of ambulatory blood pressure monitoring in dialysis-dependent versus non-dialysis CKD patients needed definition to help guide treatment strategies and prevent adverse outcomes.
Population
Dialysis-dependent and non-dialysis CKD patients admitted in ICU and medical wards
Comparison
Hemodialysis-dependent vs non-dialysis CKD patients undergoing ABPM
Design
Prospective cross-sectional study
Authors
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May support ABPM for risk stratification in hemodialysis CKD; leaves open prognostic value of non-dipping.
Cross-Sectional (n=50)
No
Absolute Event Rate: 28% vs 16%
Ambulatory blood pressure monitoring reveals a high prevalence of nocturnal non-dipping and elevated systolic blood pressure in CKD patients, particularly those on hemodialysis, highlighting its utility for cardiovascular risk stratification.
Kumar et al. (2019) conducted a cross-sectional in Chronic Kidney Disease (CKD) (n=50). Hemodialysis vs. Non-dialysis CKD was evaluated on Prevalence of non-dipping blood pressure pattern. Ambulatory blood pressure monitoring revealed a higher prevalence of non-dipping blood pressure patterns in hemodialysis-dependent CKD patients (28%) compared to non-dialysis CKD patients (16%).
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