Does ambulatory blood pressure monitoring improve the diagnosis and assessment of hypertension control compared to office blood pressure measurements in kidney transplant recipients?
Ambulatory blood pressure monitoring reveals high rates of masked and uncontrolled hypertension in kidney transplant recipients, suggesting office blood pressure alone is inadequate for diagnosing and controlling hypertension in this population.
In our systematic review, comparison of OBP versus ABP measurements disclosed a high proportion of MHT, uncontrolled HTN and, to a lesser extent, WCH in KTRs. These results suggest that HTN is not adequately diagnosed and controlled by OBP recordings in this population. Furthermore, the high prevalence of non-dippers confirmed that circadian rhythm is commonly disturbed in KTRs.
Pisano et al. (Mon,) studied this question.