Epidemiology of interdialytic ambulatory hypertension and the role of volume excess.

ABSTRACT:

Background

The epidemiology of hypertension among hemodialysis (HD) patients is difficult to describe accurately because of difficulties in the assessment of blood pressure (BP).

Methods

Using 44-hour interdialytic ambulatory BP measurements, we describe the epidemiology of hypertension in a cohort of 369 patients. To seek correlates of hypertension control, antihypertensive agents were withdrawn among patients with controlled hypertension and ambulatory BP monitoring was repeated.

Results

Hypertension (defined as an average ambulatory systolic BP ≥135 mm Hg or diastolic BP ≥85 mm Hg, or the use of antihypertensive medications) was prevalent in 82% of the patients and independently associated with epoetin use, lower body mass index and fewer years on dialysis. Althoug

SUBMITTER: Agarwal R 

PROVIDER: S-EPMC3182044 | biostudies-literature | 2011

REPOSITORIES: biostudies-literature