+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Blood pressures values during evaluation of 24-h ambulatory blood pressure monitoring and left ventricular hypertrophy in patients with chronic renal failure treated with hemodialysis (HD)



Blood pressures values during evaluation of 24-h ambulatory blood pressure monitoring and left ventricular hypertrophy in patients with chronic renal failure treated with hemodialysis (HD)



Polskie Archiwum Medycyny Wewnetrznej 107(1): 29-35



Left ventricular hypertrophy (LVH) is common and important predictor of risk of death in end-stage renal failure. In the present study we have analysed the relationship between 24-h ambulatory blood pressure (BP) profile and LVH. The effect of parathyroid hormone (PTH) on was also assessed. From a cohort of 85 patients with crf we selected for analysis 59 stable patients. Ambulatory BP 24-h monitoring, echocardiography (ECHO), body mass index (BMI), serum creatinine, hemoglobin, total protein, albumin, electrolytes and PTH concentrations were assessed in all patients. Concentric LVH was detected by ECHO in 46 patients, in 13 patients excentric LVH was observed. Mean 24-h ambulatory sBP, dBP, mean 24-h ambulatory day sBP, dBP as well as night sBP and dBP were significantly higher than in a control group 60 healthy subjects. It was a correlation between mean 24-h ambulatory sBP and left ventricular mas (LVM) r = 0.606 (p < 0.0001), between mean dBP and (LVM) r = 0.498 (p < 0.001), between mean day sBP and (LVM) r = 0.591 (p < 0.0001), between mean day dBP and (LVM) r = 0.479 (p < 0.001), between mean night dBP and (LVM) r = 0.548 (p < 0.0001), between left ventricular mass index (LVMI) and mean sBP r = 0.428 (p < 0.05), between LVMI and mean day sBP r = 0.442 (p < 0.05). The loss in physiological night-time BP was observed in all patients. It was also correlations between PTH and (LVM) r = 0.704 (p < 0.001), and between BMI and LVMI r = -0.451 (p < 0.05). LVH is common in crf patients. These results confirmed that strong correlations between BP values and LVH and between serum PTH concentrations and LVH indicate that both hypertension and hyperparathyroidism play an important role in the LVH development.

(PDF emailed within 1 workday: $29.90)

Accession: 045388683

Download citation: RISBibTeXText

PMID: 12046341


Related references

Left ventricular hypertrophy and ambulatory blood pressure monitoring in chronic renal failure. Nephrology, Dialysis, Transplantation 12(4): 724-728, 1997

Relationship between ambulatory blood pressure monitoring data, occasional blood pressure measurement and left ventricular hypertrophy in hemodialysis patients. Journal of the American Society of Nephrology 9(PROGRAM AND ABSTR ISSUE): 323A, Sept, 1998

Ambulatory blood pressure monitoring and left ventricular hypertrophy in hemodialysis patients. Nephrology Dialysis Transplantation 13(6): A160, 1998

Are there any particularities of ambulatory blood pressure monitoring values in hypertensive patients with resistant left ventricular hypertrophy?. American Journal of Hypertension 15(4 Part 2): 163A, 2002

Ambulatory blood pressure is superior to clinic blood pressure in predicting treatment-induced regression of left ventricular hypertrophy. SAMPLE Study Group. Study on Ambulatory Monitoring of Blood Pressure and Lisinopril Evaluation. Circulation 95(6): 1464-1470, 1997

Home blood pressure monitoring in hemodialysis patients Comparison of pre-dialysis and ambulatory BP measurements and their predictive value for left ventricular hypertrophy. Journal of the American Society of Nephrology 12(Program and Abstract Issue): 382A, 2001

Ambulatory blood pressure monitoring and left ventricular hypertrophy Correlations and predictive values. Journal of Hypertension 10(10): 1298-1299, 1992

Early changes of left ventricular function in young adults with never-treated hypertension and no left ventricular hypertrophy: relationships to ambulatory blood pressure monitoring. Clinical and Experimental Hypertension 36(7): 517-523, 2015

Ambulatory 24-hour blood pressure monitoring: correlation between blood pressure variability and left ventricular hypertrophy in untreated hypertensive patients. Giornale Italiano di Cardiologia 28(1): 38-44, 1998

Hypertension and left ventricular hypertrophy in pediatric peritoneal dialysis patients: ambulatory blood pressure monitoring and echocardiographic evaluation. Nephron. Clinical Practice 104(2): C101-C106, 2006

Value of ambulatory blood pressure monitoring in the evaluation of left ventricular hypertrophy. European Heart Journal 12(ABSTR SUPPL): 259, 1991

Left ventricular hypertrophy and blood pressure values during 24-hour ambulatory monitoring and office measurements in essential hypertension. Kardiologia Polska 38(4): 249-255, 1993

Blood pressure determinants of left ventricular hypertrophy; Comparing office, ambulatory and exercise blood pressures. Journal of Hypertension 18(Suppl 4): S9, 2000

Left ventricular hypertrophy in patients with chronic renal failure treated by hemodialysis. Polskie Archiwum Medycyny Wewnetrznej 107(6): 539-546, 2002

Nondipping pattern on 24-h ambulatory blood pressure monitoring is associated with left ventricular hypertrophy in chronic kidney disease. Blood Pressure Monitoring 23(5): 244-252, 2018