Elective ambulatory blood pressure monitoring to diagnose masked hypertension after kidney transplantation: are we ready for that?

2016 ◽  
Vol 20 (8) ◽  
pp. 1014-1015 ◽  
Author(s):  
Ajay P. Sharma
Keyword(s):  
Blood Pressure ◽  
Kidney Transplantation ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Masked Hypertension ◽  
Pressure Monitoring

scholarly journals The Key Role of Ambulatory Blood Pressure Monitoring in the Detection of Masked Hypertension and Other Phenomena in Frail Geriatric Patients

Medicina ◽  
2021 ◽  
Vol 57 (11) ◽  
pp. 1221
Author(s):  
Marek Koudelka ◽  
Eliška Sovová
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Geriatric Patients ◽  
Blood Pressure Monitoring ◽  
Target Range ◽  
Masked Hypertension ◽  
Pressure Monitoring

Background and Objectives: This study aims to determine prevalence of masked uncontrolled hypertension (MUH) in frail geriatric patients with arterial hypertension and thus show the role of ambulatory blood pressure monitoring (ABPM) since hypertension occurs in more than 80% of people 60+ years and cardiovascular diseases are the main cause of death worldwide. Despite modern pharmacotherapy, use of combination therapy and normal office blood pressure (BP), patients’ prognoses might worsen due to inadequate therapy (never-detected MUH). Materials and Methods: 118 frail geriatric patients (84.2 ± 4.4 years) treated for arterial hypertension with office BP < 140/90 mmHg participated in the study. 24-h ABPM and clinical examination were performed. Results: Although patients were normotensive in the office, 24-h measurements showed that BP values in 72% of hypertensives were not in the target range: MUH was identified in 47 (40%) patients during 24 h, in 48 (41%) patients during daytime and nocturnal hypertension in 60 (51%) patients. Conclusions: ABPM is essential for frail geriatric patients due to high prevalence of MUH, which cannot be detected based on office BP measurements. ABPM also helps to detect exaggerated morning surge, isolated systolic hypertension, dipping/non-dipping, and set and properly manage adequate treatment, which reduces incidence of cardiovascular events and contributes to decreasing the financial burden of society.

Ambulatory blood pressure monitoring in children with aortic coarctation and kidney transplantation

2000 ◽  
Vol 136 (4) ◽  
pp. 520-523 ◽  
Author(s):  
Ugo Giordano ◽  
Maria Chiara Matteucci ◽  
Armando Calzolari ◽  
Attilio Turchetta ◽  
Gianfranco Rizzoni ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Kidney Transplantation ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Aortic Coarctation ◽  
Blood Pressure Monitoring ◽  
Pressure Monitoring

scholarly journals Ambulatory Blood Pressure Monitoring in Diabetes and Obesity—A Review

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Kazuo Eguchi
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Disease ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Masked Hypertension ◽  
Pressure Monitoring ◽  
Increased Risk ◽  
Patients With Diabetes ◽  
Diabetes And Obesity

Diabetes mellitus and obesity are both related to the risk of cardiovascular disease and sudden death. In hypertensive guidelines, diabetes and obesity, especially abdominal obesity, are regarded as high-risk factors. Ambulatory blood pressure monitoring (ABPM) is an established method for the management of hypertension. However, ABPM is not a standard tool for the management of hypertension in diabetes and obesity. In this paper, recent data on the use of ABPM in diabetes and obesity will be discussed. In patients with diabetes, the ambulatory BP level has been shown to be better than clinic BP in predicting cardiovascular events. A riser pattern has been associated with increased risk of cardiovascular disease. White-coat hypertension and masked hypertension in diabetics constitute a moderate risk. A nondipping pattern is very common in obese hypertensive patients. In this paper, we will summarize the findings on the use of ABPM in patients with diabetes and obesity.

Ambulatory blood pressure monitoring parameters in obese children and adolescents with masked hypertension

2019 ◽  
Vol 24 (6) ◽  
pp. 277-283 ◽  
Author(s):  
Gökçe Yegül-Gülnar ◽  
Belde Kasap-Demir ◽  
Caner Alparslan ◽  
Gönül Çatli ◽  
Fatma Mutlubaş ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Children And Adolescents ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Masked Hypertension ◽  
Obese Children ◽  
Pressure Monitoring
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