Open AccessAmbulatory vs Office Blood Pressure Monitoring in Renal Transplant Recipients
Author(s) -
Ahmed Jafar,
Ozorio Valerie,
Farrant Maritza,
Van Der Merwe Walter
Publication year - 2015
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.12448
Subject(s) - medicine , ambulatory blood pressure , ambulatory , renal transplant , blood pressure , intensive care medicine , cardiology , emergency medicine , transplantation
Hypertension is common following renal transplantation and has adverse effects on cardiovascular and graft health. Ambulatory blood pressure monitoring ( ABPM ) is better at overall blood pressure ( BP ) assessment and is necessary to diagnose nocturnal hypertension, which is also implicated in poor outcomes. The authors performed a retrospective analysis of 98 renal transplant recipients ( RTR s) and compared office BP and ambulatory BP recordings. ABPM revealed discordance between office BP and ambulatory BP in 61% of patients, with 3% caused by white‐coat and 58% caused by masked hypertension (of which 33% were caused by isolated nocturnal hypertension). Overall, mean systolic BP was 3.6 mm Hg (0.5–6.5) and diastolic BP was 7.5 mm Hg (5.7–9.3) higher via ambulatory BP than office BP . This was independent of estimated glomerular filtration rate, proteinuria, transplant time/type, and comorbidities. A total of 42% of patients had their management changed after results from ABPM . ABPM should be routinely offered as part of hypertension management in RTR s.