Evaluation of pulse wave velocity and central systolic blood pressure in children and adolescents with chronic kidney disease

Autor: Ana Paula Brecheret, Ana Lucia Cardoso Santos Abreu, Renata Lopes, Francisco Antônio Helfenstein Fonseca, Dirceu Solé, Maria Cristina de Andrade
Jazyk: English<br />Portuguese
Rok vydání: 2022
Předmět:
Zdroj: Einstein (São Paulo), Vol 20 (2022)
Druh dokumentu: article
ISSN: 2317-6385
DOI: 10.31744/einstein_journal/2022ao6758
Popis: ABSTRACT Objective Investigate pulse wave velocity and central systolic blood pressure among pediatric population with chronic kidney disease. Methods In this cross-sectional study, 57 patients (61.4% male) aged 6.2 to 17.5 years old, 44 with nondialysis chronic kidney disease and 13 on chronic dialysis, were included in the analysis. The pulse wave velocity and the central systolic blood pressure were measured with an oscillometric device with an inbuilt ARC SolverⓇ algorithm and were compared with previously established percentiles. Results The prevalence of elevated pulse wave velocity was 21.1% (95%Cl: 11.4-33.9) and elevated central systolic blood pressure was 28.1% (95%CI: 17.0-41.5). According to the generalized linear model, there was a higher risk of elevated pulse wave velocity in patients undergoing chronic dialysis treatment than nondialysis chronic kidney disease patients (adjPR=4.24, 95%CI: 1.97-9.13, p=
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