Linked Life Data

11045270

Source:http://linkedlifedata.com/resource/pubmed/id/11045270

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PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
2000-11-27
pubmed:abstractText
Introduction of continuous ambulatory peritoneal dialysis (CAPD) induces a variety of hemodynamic changes in patients with end-stage renal failure. Among them, blood pressure (BP) control is likely to be the most important in determining long-term survival. The aim of our study was to use 24-hour ambulatory blood pressure monitoring (24 ABPM) to evaluate the previous and present BP status of patients on CAPD. We studied 18 non diabetic hypertensive patients who were introduced onto CAPD. At least 3-6 months before the introduction of CAPD, recordings of 24 ABPM were obtained. These recordings were then compared to others obtained 2-3 months after the introduction of CAPD. The average BP was higher before CAPD than after (160/91 +/- 10/5 mmHg vs 154/88 +/- 6/3 mmHg, p < 0.01). In addition, the doses and number of antihypertensive drugs used by the patients were reduced. Analysis of 24 ABPM revealed BP reduction predominantly in the daytime and less in the nighttime after introduction of CAPD. These results indicate that introduction of CAPD cannot reduce susceptibility of cardiovascular events, because nocturnal elevation of BP remains unchanged. We are therefore reminded that, after introduction of CAPD, casual BP measurements confined to the daytime may underestimate cardiovascular risk.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
1197-8554
pubmed:author
pubmed:issnType
Print
pubmed:volume
16
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
97-101
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
2000
pubmed:articleTitle
Impact of introduction of continuous ambulatory peritoneal dialysis on blood pressure: analysis of 24-hour ambulatory blood pressure.
pubmed:affiliation
Department of Nephrology, Saitama Medical College, Japan.
pubmed:publicationType
Journal Article