Document Detail


Blood pressure and progression of chronic kidney disease: importance of systolic, diastolic, or diurnal variation.
MedLine Citation:
PMID:  15341694     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Several studies show that systolic blood pressure is an important predictor of renal disease progression, just as it is linked with cardiovascular consequences in hypertension. In contrast, particularly in older patients, diastolic blood pressure was not independently associated with risk of kidney disease progression in the same studies. Pulse pressure has been shown to be equivalent in predicting renal outcomes, but might not have added value after adjusting for systolic blood pressure. Several cross- sectional studies present a strong correlation of ambulatory blood pressure monitoring values with microalbuminuria, compared with office-based blood pressure measurements. Small, prospective studies have shown an association between loss of nocturnal blood pressure decline and outcomes, including microalbuminuria, accelerated kidney disease progression, and mortality.
Authors:
Evelyn Mentari; Mahboob Rahman
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Current hypertension reports     Volume:  6     ISSN:  1522-6417     ISO Abbreviation:  Curr. Hypertens. Rep.     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-09-02     Completed Date:  2005-01-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100888982     Medline TA:  Curr Hypertens Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  400-4     Citation Subset:  IM    
Affiliation:
Division of Nephrology and Hypertension, Case Western Reserve University, University Hospitals of Cleveland / Cleveland VA Medical Center, 11100 Euclid Avenue, Cleveland, OH 44106, USA.
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MeSH Terms
Descriptor/Qualifier:
Antihypertensive Agents / therapeutic use*
Blood Pressure
Blood Pressure Determination
Circadian Rhythm
Clinical Trials as Topic
Diastole / physiology
Disease Progression
Female
Humans
Hypertension / diagnosis*,  drug therapy*
Kidney Failure, Chronic / diagnosis,  prevention & control*
Male
Prognosis
Prospective Studies
Sensitivity and Specificity
Survival Analysis
Systole / physiology
Chemical
Reg. No./Substance:
0/Antihypertensive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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