Unattended automated office blood pressure in living donor kidney transplant recipients

Autor:	Birgitte Bang Pedersen, Niels Buus, Karin Skov, Minh Ngoc Nguyen
Rok vydání:	2021
Předmět:	Adult Male medicine.medical_specialty Ambulatory blood pressure Office Visits White coat hypertension Blood Pressure albuminuria Kidney transplantation Internal medicine Internal Medicine medicine Living Donors Outpatient clinic Humans ambulatory blood pressure automated office blood pressure business.industry blood pressure Blood Pressure Determination General Medicine Blood Pressure Monitoring Ambulatory Middle Aged medicine.disease Kidney Transplantation Transplantation Masked Hypertension Blood pressure Ambulatory Hypertension Cardiology Female Cardiology and Cardiovascular Medicine business
Zdroj:	Nguyen, M N, Skov, K, Pedersen, B B & Buus, N H 2021, ' Unattended automated office blood pressure in living donor kidney transplant recipients ', Blood Pressure, vol. 30, no. 6, pp. 386-394 . https://doi.org/10.1080/08037051.2021.1991778
ISSN:	1651-1999
DOI:	10.1080/08037051.2021.1991778
Popis:	Purpose: Hypertension is common in kidney transplant recipients (KTRs). For the evaluation of blood pressure (BP), 24-h ambulatory BP measurements (ABPM) are considered superior to usual office measurements but are also resource demanding and troublesome to many patients. We therefore evaluated the use of unattended automated office BP (AOBP) during the first year following living donor kidney transplantation and compared AOBP with ABPM as obtained 12 months after transplantation. Materials and methods: Data were retrieved from a cohort of 57 KTRs (mean age 45 ± 14 years, 75% males) who all received kidneys from living donors and had a good graft function (estimated glomerular filtration rate (eGFR) 52 ± 16 ml/min/1.73 m2 at 12 months). Unattended AOBP was measured at each visit to the outpatient clinic using the BpTru® device, while ABPM was obtained by Spacelabs® equipment before and 12 months after transplantation. Results: AOBP remained stable from month 2 (130.2 ± 10.8/82.2 ± 7.8 mmHg) to month 12 (129.0 ± 12.8/83.1 ± 9.6 mmHg) post-transplantation. At 12 months follow-up, ambulatory daytime systolic BP was slightly higher than AOBP (132.7 ± 10.7 vs. 129.4 ± 12.2 mmHg, p = 0.04), while diastolic BP was similar (82.7 ± 7.7 vs. 82.0 ± 10.2 mmHg). Using Bland–Altman plots, 95% limits of agreements were −17.9 to 24.5 mmHg for systolic and −16.5 to 15.1 mmHg for diastolic BP. When considering a target BP of ≤130/
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3bf70d304db8ff08e58c951ef8b92c05 https://pubmed.ncbi.nlm.nih.gov/34664539 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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