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home blood pressure monitoring and ckd progression

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https://www.readbyqxmd.com/read/26201477/blood-pressure-bp-assessment-from-bp-level-to-bp-variability
#1
Janusz Feber, Mieczyslaw Litwin
The assessment of blood pressure (BP) can be challenging in children, especially in very young individuals, due to their variable body size and lack of cooperation. In the absence of data relating BP with cardiovascular outcomes in children, there is a need to convert absolute BP values (in mmHg) into age-, gender- and height appropriate BP percentiles or Z-scores in order to compare a patient's BP with the BP of healthy children of the same age, but also of children of different ages. Traditionally, the interpretation of BP has been based mainly on the assessment of the BP level obtained by office, home or 24-h BP monitoring...
July 2016: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://www.readbyqxmd.com/read/25254033/practical-use-of-home-blood-pressure-monitoring-in-chronic-kidney-disease
#2
REVIEW
Sarah Sanghavi, Joseph A Vassalotti
Despite the availability of blood pressure (BP)-lowering medications and dietary education, hypertension is still poorly controlled in the chronic kidney disease (CKD) population. As glomerular filtration rate declines, the number of medications required to achieve BP targets increases, which may lead to reduced patient adherence and therapeutic inertia by the clinician. Home BP monitoring (HBPM) has emerged as a means of improving diagnostic accuracy, risk stratification, patient adherence, and therapeutic intervention...
August 2014: Cardiorenal Medicine
https://www.readbyqxmd.com/read/24966007/effectiveness-of-integrated-care-on-delaying-chronic-kidney-disease-progression-in-rural-communities-of-thailand-escort-study-rationale-and-design-of-the-study-nct01978951
#3
RANDOMIZED CONTROLLED TRIAL
Teerayuth Jiamjariyaporn, Atiporn Ingsathit, Kriang Tungsanga, Chatri Banchuin, Kotcharat Vipattawat, Suphattra Kanchanakorn, Vinai Leesmidt, Watcharapong Watcharasaksilp, Akhathai Saetie, Chanida Pachotikarn, Sunard Taechangam, Tanyarat Teerapornlertratt, Teerachai Chantarojsiri, Visith Sitprija
BACKGROUND: In developing countries, accessibility to specialists, and physician to patient contact time is limited. In Thailand, A unique community health service is provided by subdistrict health care officers and Village Health Volunteers (VHVs). If the personnel were trained on proper chronic kidney disease (CKD) care, CKD progression would be delayed. METHODS/DESIGN: We conducted a community-based, cluster randomized controlled trial at Kamphaeng Phet Province, located about 400 kilometers north of Bangkok...
2014: BMC Nephrology
https://www.readbyqxmd.com/read/23849214/-2013-ambulatory-blood-pressure-monitoring-recommendations-for-the-diagnosis-of-adult-hypertension-assessment-of-cardiovascular-and-other-hypertension-associated-risk-and-attainment-of-therapeutic-goals-summary-joint-recommendations-from-the-international-society
#4
Ramón C Hermida, Michael H Smolensky, Diana E Ayala, Francesco Portaluppi, Juan J Crespo, Fabio Fabbian, Erhard Haus, Roberto Manfredini, Artemio Mojón, Ana Moyá, Luis Piñeiro, María T Ríos, Alfonso Otero, Horia Balan, José R Fernández
Correlation between systolic (SBP) and diastolic (DBP) blood pressure (BP) level and target organ damage, cardiovascular disease (CVD) risk, and long-term prognosis is much greater for ambulatory BP monitoring (ABPM) than daytime office measurements. The 2013 ABPM guidelines specified herein are based on ABPM patient outcomes studies and constitute a substantial revision of current knowledge. The asleep SBP mean and sleep-time relative SBP decline are the most significant predictors of CVD events, both individually as well as jointly when combined with other ABPM-derived prognostic markers...
April 2013: Clínica e Investigación en Arteriosclerosis
https://www.readbyqxmd.com/read/23517220/2013-ambulatory-blood-pressure-monitoring-recommendations-for-the-diagnosis-of-adult-hypertension-assessment-of-cardiovascular-and-other-hypertension-associated-risk-and-attainment-of-therapeutic-goals
#5
Ramón C Hermida, Michael H Smolensky, Diana E Ayala, Francesco Portaluppi
Correlation between systolic (SBP) and diastolic (DBP) blood pressure (BP) level and target organ damage, cardiovascular disease (CVD) risk, and long-term prognosis is much greater for ambulatory BP monitoring (ABPM) than daytime office measurements. The 2013 ABPM guidelines specified herein are based on ABPM patient outcomes studies and constitute a substantial revision of current knowledge. The asleep SBP mean and sleep-time relative SBP decline are the most significant predictors of CVD events, both individually as well as jointly when combined with other ABPM-derived prognostic markers...
April 2013: Chronobiology International
https://www.readbyqxmd.com/read/22906957/hypertension-and-chronic-kidney-disease-progression-why-the-suboptimal-outcomes
#6
REVIEW
Anil K Bidani, Karen A Griffin, Murray Epstein
Current therapeutic interventions to retard the progression of chronic kidney disease have yielded disappointing outcomes despite adequate renin-angiotensin system blockade. The parameters to gauge the adequacy of blood pressure control need to be reassessed because clinic blood pressure constitutes a poor gauge of such control. The biologically relevant parameter for hypertensive target organ damage is total blood pressure burden, and reliance on isolated clinic blood pressure measurements per se does not accurately reflect the total blood pressure burden...
November 2012: American Journal of Medicine
https://www.readbyqxmd.com/read/22183043/association-of-home-blood-pressure-variability-with-progression-of-chronic-kidney-disease
#7
Tomonari Okada, Hiroshi Matsumoto, Yume Nagaoka, Toshiyuki Nakao
OBJECTIVE: Home blood pressure (HBP) has been found to be a predictor of the progression of chronic kidney disease (CKD). The objective of this study is to clarify the clinical significance of day-by-day HBP variability on the progression of CKD. METHODS: We recruited 135 patients with stage 3-5 CKD, who performed daily HBP measurements, every morning and evening over 7 consecutive days and recorded every 6 months, with a follow-up of 36 months. We examined the associations between the variables of blood pressure (BP) variability [SD, coefficient of variation (CV), average real variability (ARV)], and renal outcomes...
February 2012: Blood Pressure Monitoring
https://www.readbyqxmd.com/read/21710375/is-nocturnal-blood-pressure-reduction-the-secret-to-reducing-the-rate-of-progression-of-hypertensive-chronic-kidney-disease
#8
REVIEW
Rupal Mehta, Paul E Drawz
Hypertension is a significant risk factor for cardiovascular and renal disease. Lowering blood pressure (BP) has been shown to reduce the incidence of cardiovascular disease, but randomized trials have not demonstrated a benefit of lowering BP for the progression of renal disease except in secondary analyses in patients with significant proteinuria. Recently, there has been increasing interest in measuring BP outside of the clinic, using both home and ambulatory blood pressure monitoring (ABPM). ABPM has the advantage of measuring BP throughout both the day and night...
October 2011: Current Hypertension Reports
https://www.readbyqxmd.com/read/21327567/home-blood-pressure-monitoring-how-good-a-predictor-of-long-term-risk
#9
REVIEW
Samia Sheikh, Arjun D Sinha, Rajiv Agarwal
Most management decisions for the diagnosis and treatment of hypertension are made using blood pressure (BP) measurements made in the clinic. However, home BP recordings may be of superior prognostic value. In this review, we show that home BP recordings are generally superior to clinic BP measurements in predicting long-term prognosis. Home BP has been shown to significantly predict important end points including all-cause mortality, progression of chronic kidney disease, and functional decline in the elderly...
June 2011: Current Hypertension Reports
https://www.readbyqxmd.com/read/19816503/prognostic-significance-of-home-blood-pressure-control-on-renal-and-cardiovascular-outcomes-in-elderly-patients-with-chronic-kidney-disease
#10
Tomonari Okada, Toshiyuki Nakao, Hiroshi Matsumoto, Yume Nagaoka, Ryo Tomaru, Hideaki Iwasawa, Toshikazu Wada
The influence of home blood pressure (HBP) control on renal and cardiovascular outcomes is not fully defined, and the optimal blood pressure (BP) target in elderly patients with chronic kidney disease (CKD) remains unknown. To clarify the influence of HBP on the progression of CKD and the occurrence of cardiovascular events in elderly CKD patients, we recruited 104 patients with stage 3 to 5 CKD, who were > or =70 years of age. The mean follow-up duration was 39+/-15 months. HBP was measured every morning and evening for 7 consecutive days...
December 2009: Hypertension Research: Official Journal of the Japanese Society of Hypertension
https://www.readbyqxmd.com/read/16609300/hypertension-diagnosis-and-prognosis-in-chronic-kidney-disease-with-out-of-office-blood-pressure-monitoring
#11
REVIEW
Rajiv Agarwal
PURPOSE OF REVIEW: Hypertension is an important risk factor for adverse cardiovascular and renal outcomes particularly in patients with chronic kidney disease. This review compares blood pressure measurements obtained in the clinic with those obtained outside the clinic to predict cardiovascular and renal injury and outcomes. RECENT FINDINGS: When home blood pressure monitoring (self-measured blood pressure) is performed, hypertension is less frequently misclassified and better correlation is achieved with putative markers of kidney disease progression...
May 2006: Current Opinion in Nephrology and Hypertension
https://www.readbyqxmd.com/read/16298269/treatment-of-hypertension-in-chronic-kidney-disease
#12
REVIEW
Robert D Toto
Chronic kidney disease (CKD) is a major public health problem in the United States. It is estimated that nearly 20 million Americans have some degree of chronic kidney disease defined as an estimated glomerular filtration rate of less than sixty milliliters per minute or evidence of kidney damage by imaging study, biopsy, biochemical testing or urine tests with an estimated glomerular filtration rate more than sixty milliliters per minute. Hypertension is present in more than 80% of patients with CKD and contributes to progression of kidney disease toward end stage (ESRD) as well as to cardiovascular events such as heart attack and stroke...
November 2005: Seminars in Nephrology
https://www.readbyqxmd.com/read/15957127/home-blood-pressure-monitoring-in-ckd
#13
Martin J Andersen, Wassim Khawandi, Rajiv Agarwal
BACKGROUND: Blood pressure (BP) control is the mainstay of stalling the progression of cardiorenal disease, yet the performance characteristics of BPs obtained in the clinic (CBPs) by routine or standardized methods or at home (HBP) in diagnosing hypertension or assessing its control are unknown. METHODS: Two hundred thirty-two patients (20% black; 4% women; mean age, 67 years; 35% with diabetes) with chronic kidney disease (CKD) underwent a single 24-hour ambulatory BP (ABP) monitoring (ABPM) and concomitant recording of CBP and HBP for 1 week...
June 2005: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
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