ArticlePediatric nephrology (Berlin, Germany)2015
44-h ambulatory blood pressure monitoring: revealing the true burden of hypertension in pediatric hemodialysis patients.
Article in Pediatric nephrology (Berlin, Germany), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Sodium intake and urinary losses in children on dialysis: a European multicenter prospective study.Pediatric nephrology (Berlin, Germany) · 2023Article
- Ambulatory blood pressures and central blood pressures are associated with cardiovascular morbidity in adolescent and young adult patients receiving chronic hemodialysis.Pediatric nephrology (Berlin, Germany) · 2019Article
- The first hour refill index: a promising marker of volume overload in children and young adults on chronic hemodialysis.Pediatric nephrology (Berlin, Germany) · 2018Article
- Hypertension in Pediatric Dialysis Patients: Etiology, Evaluation, and Management.Current hypertension reports · 2018Review
- Blood pressure variability is independent of systolic pressure in adolescent and young adult patients undergoing hemodialysis.Pediatric research · 2018Article
- Blood pressure management in children on dialysis.Pediatric nephrology (Berlin, Germany) · 2018Review
- Ambulatory Blood Pressure Monitoring in Children and Adolescents: a Review of Recent Literature and New Guidelines.Current hypertension reports · 2017Review
- Relationship between Interdialytic Weight Gain and Blood Pressure in Pediatric Patients on Chronic Hemodialysis.BioMed research international · 2016Observational
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundThe blood pressure (BP) burden is high in pediatric hemodialysis (HD) patients and adversely affects prognosis. The aim of this study was to examine whether 44-h ambulatory BP monitoring (ABPM) provides additional relevant BP data compared with 24-h ABPM.
methodsABPM was initiated at the end of the mid-week dialysis run in 13 stable pediatric HD patients and continued until the next run for 44 h. Day 1 was defined as the initial 24-h ABPM and Day 2 as the time period after that until the next dialysis run. All patients had an echocardiogram to calculate the left ventricular mass index (LVMI).
resultsA higher percentage of patients were diagnosed with hypertension from the 44-h ABPM than from the 24-h ABPM. All BP indexes and loads (except nighttime diastolic load) were significantly higher on Day 2 than on Day 1. Patients with BP loads of ≥ 25 % on 44-h ABPM had significantly higher LVMI than those patients with normal BP loads. No such association was found with 24-h ABPM and LVMI. Higher interdialytic weight gain was associated with higher Day-2 nighttime systolic BP load.
conclusionsThe 44-h ABPM provides more information than the 24-h ABPM in terms of diagnosing and assessing the true burden of hypertension in pediatric HD patients. Elevated BP loads from 44-h ABPM correlate with a higher LVMI on the echocardiogram.
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25266709What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.