Pro: Ambulatory blood pressure should be used in all patients on hemodialysis

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

In the adult population in general and among people with chronic kidney disease in particular, it is now well established that hypertension is a major driver of renal disease progression and cardiovascular morbidity and mortality [1-4]. Although the contribution of hypertension to cardiovascular morbidity and mortality among patients on long-term dialysis continues to be debated [5-8], a major barrier to detect hypertension as a risk factor for cardiovascular events in these patients has been the inability to diagnose hypertension [9]. Largely to blame has been the easy availability of pre-dialysis and post-dialysis blood pressure recordings in stark contrast to ambulatory blood pressure measurements in dialysis patients to accurately diagnose the presence or control of hypertension [10]. It is increasingly becoming clear that out-of-office blood pressure recordings are superior to clinic recordings in making a diagnosis, assessing target organ damage, evaluating prognosis and managing patients with hypertension [11-15]. In this debate, I have been asked to defend the position that ambulatory blood pressure recordings should be systematically applied to all patients on hemodialysis.

Original languageEnglish (US)
Pages (from-to)1432-1437
Number of pages6
JournalNephrology Dialysis Transplantation
Volume30
Issue number9
DOIs
StatePublished - Sep 1 2015

Keywords

  • Ambulatory blood pressure monitoring
  • diagnosis
  • hemodialysis
  • hypertension
  • mortality

ASJC Scopus subject areas

  • Nephrology
  • Transplantation

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