Document Detail

Ambulatory blood pressure monitoring in hemodialysis patients: a critique and literature review.
MedLine Citation:
PMID:  15250913     Owner:  NLM     Status:  MEDLINE    
Ambulatory blood pressure (ABP) monitoring has been in use for nearly four decades. In that time, the advantages of using a more reproducible and accurate method to assess the true contribution of blood pressure to the cardiovascular risk profile of patients have steadily become more clearly established, balanced by the additional expense and expertise involved. In nephrology, and in particular in dialysis patients, there are significant difficulties in accurately registering truly representative blood pressure values and understanding the relationship between blood pressure, end-organ damage, and patient mortality. This arises because of the way in which hemodialysis acutely changes blood pressure values as well as the widespread abnormality of diurnal blood pressure rhythm seen in dialysis patients. Use of ABP monitoring can go some way to overcoming these obstacles. In this review we critically examine the use of ABP monitoring in the understanding of blood pressure control in dialysis patients.
Adrian Covic; Ali A Haydar; David Goldsmith
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in dialysis     Volume:  17     ISSN:  0894-0959     ISO Abbreviation:  Semin Dial     Publication Date:    2004 Jul-Aug
Date Detail:
Created Date:  2004-07-14     Completed Date:  2004-11-16     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8911629     Medline TA:  Semin Dial     Country:  United States    
Other Details:
Languages:  eng     Pagination:  255-9     Citation Subset:  IM    
Renal Unit, Parhon Hospital, Iasi, Romania.
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MeSH Terms
Blood Pressure
Blood Pressure Monitoring, Ambulatory*
Circadian Rhythm
Hypertension / complications,  diagnosis
Hypertrophy, Left Ventricular / etiology
Renal Dialysis* / adverse effects

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