| Living Donor Kidney Donation: Another Form of White Coat Effect. | |
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MedLine Citation:
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PMID: 22189100 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Background/Aims: Living donor nephrectomy can be associated with increases in blood pressure several years following the procedure, but the best method to assess blood pressure during the living donor evaluation process is unclear. Methods: Living kidney donors underwent casual clinic and ambulatory blood pressure monitoring (ABPM) and measurement of central aortic pressures at baseline and 6 months following donor nephrectomy. Results: There was a significant decline in clinic systolic blood pressure (SBP; p = 0.001) and central aortic systolic pressure (p = 0.011) during the study period. However, average ABPM was unchanged and other measures of central arterial pressures and Augmentation Index were unchanged at 6 months compared to baseline. Conclusions: The remarkable differences between clinic SBP and ambulatory SBP prior to donation, and the disappearance of these differences 6 months later, suggest a substantial white coat effect on SBP associated with living kidney donor evaluation. Also, ABPM represents a better way to assess blood pressure prior to kidney donation. |
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Authors:
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Stephanie S Deloach; Kevin E C Meyers; Raymond R Townsend |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-12-21 |
Journal Detail:
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Title: American journal of nephrology Volume: 35 ISSN: 1421-9670 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-12-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8109361 Medline TA: Am J Nephrol Country: - |
Other Details:
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Languages: ENG Pagination: 75-79 Citation Subset: - |
Copyright Information:
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Copyright © 2011 S. Karger AG, Basel. |
Affiliation:
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Departments of Medicine, Thomas Jefferson University, Philadelphia, Pa., USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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