Key result
Morning systolic BP ≥135 mm Hg linked to ~16-fold higher LVH odds in CAPD patients.
Why the study?
The relationship between self-measured morning blood pressure and left ventricular hypertrophy in patients undergoing continuous ambulatory peritoneal dialysis was unclear.
Does self-measured morning hypertension predict left ventricular hypertrophy better than hospital blood pressure in patients undergoing continuous ambulatory peritoneal dialysis?
Population
33 patients undergoing continuous ambulatory peritoneal dialysis, mean age 64.0 years
Comparison
Self-measured morning blood pressure at home vs hospital blood pressure measurements
Design
Cross-sectional study
Authors
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Morning hypertension may flag LVH risk in CAPD; hypothesis-generating and requires prospective validation versus office BP.
Cross-Sectional (n=33)
Does self-measured morning hypertension predict left ventricular hypertrophy better than hospital blood pressure in patients undergoing continuous ambulatory peritoneal dialysis?
Odds Ratio: 15.9 (95% CI 1.3–198.5)
Self-measured morning systolic blood pressure is a stronger predictor of left ventricular hypertrophy than hospital-measured blood pressure in patients undergoing continuous ambulatory peritoneal dialysis.
Terawaki et al. (2012) conducted a cross-sectional in continuous ambulatory peritoneal dialysis (CAPD) (n=33). Morning systolic blood pressure ≥ 135 mm Hg vs. Morning systolic blood pressure < 135 mm Hg was evaluated on Left ventricular hypertrophy (LVH) (OR 15.9, 95% CI 1.3 to 198.5). Morning systolic blood pressure ≥ 135 mm Hg was significantly associated with left ventricular hypertrophy in patients undergoing continuous ambulatory peritoneal dialysis (OR 15.9; 95% CI 1.3-198.5).
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