TY - JOUR
T1 - Ambulatory Blood Pressure Monitoring
T2 - Profiles in Chronic Kidney Disease Patients and Utility in Management
AU - Aslam, Nabeel
AU - Missick, Samardia
AU - Haley, William
N1 - Publisher Copyright:
© 2019 National Kidney Foundation, Inc.
PY - 2019/3
Y1 - 2019/3
N2 - Optimal control of blood pressure (BP) may reduce the risk of progression of CKD. Misclassification of hypertension (HTN) and status of control may result in suboptimal management. Clinic or home BP may overestimate or underestimate status of control compared with ambulatory BP monitoring (ABPM), which is considered the gold standard. The latter relates not only to the superiority of ABPM concerning outcome prognosis but also to its ability to accurately diagnose white coat and masked HTN, which is critical in assuring adequate BP control. However, ABPM has not gained widespread use in practice because of limited third-party reimbursement and a paucity of high quality randomized controlled intervention studies evaluating its use. Herein, we review HTN phenotypes that have been identified in patients with CKD, and the potential value of ABPM in this high-risk population.
AB - Optimal control of blood pressure (BP) may reduce the risk of progression of CKD. Misclassification of hypertension (HTN) and status of control may result in suboptimal management. Clinic or home BP may overestimate or underestimate status of control compared with ambulatory BP monitoring (ABPM), which is considered the gold standard. The latter relates not only to the superiority of ABPM concerning outcome prognosis but also to its ability to accurately diagnose white coat and masked HTN, which is critical in assuring adequate BP control. However, ABPM has not gained widespread use in practice because of limited third-party reimbursement and a paucity of high quality randomized controlled intervention studies evaluating its use. Herein, we review HTN phenotypes that have been identified in patients with CKD, and the potential value of ABPM in this high-risk population.
KW - Ambulatory blood pressure monitoring
KW - Chronic kidney disease
KW - Hypertension
KW - Kidney transplantation
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U2 - 10.1053/j.ackd.2019.02.001
DO - 10.1053/j.ackd.2019.02.001
M3 - Review article
C2 - 31023453
AN - SCOPUS:85064532735
SN - 1548-5595
VL - 26
SP - 92
EP - 98
JO - Advances in Chronic Kidney Disease
JF - Advances in Chronic Kidney Disease
IS - 2
ER -