e-journal

Forty-Eight-Hour Ambulatory Blood Pressure and Carotid-Femoral PulseWave Velocity in Hemodialysis Patients

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Abstract: Carotid-femoral pulse wave velocity (cfPWV) is an important predictor of cardiovascular events in the general population and also in hemodialysis (HD) patients. In the general population, cfPWV is strongly associated with age and blood pressure (BP). The best timing and
method of BP measurement in HD patients is uncertain. Ambulatory blood pressure measurements (ABPM) have been used to better define the relationship between BP, target organ damage, and outcomes in HD patients. The aim of this study was to determine the possible association between cfPWV, cardiovascular risk factors, single BP measurements, and 48-hour ABPM in chronic HD patients. Thirty-three HD patients (22 men, 11 women) were
included. After the end of the mid-week HD session, BP was measured, arterial stiffness was estimated by cfPWV, and 48-hour ABPM was performed.The mean systolic and diastolic BP readings before cfPWV measurement were 136/79 mm Hg, and the mean 48-hour systolic and diastolic BP readings were 131/76 mm Hg. The mean and range of the cfPWV measurements were 8.31  2.35 m/s and 5.18– 16.53 m/s, respectively. Using regression analysis, no
association between cfPWV and BP before PWV measurements was found. A statistically significant correlation between cfPWV and 48-hour systolic and diastolic ABPM was found. Using multiple regression analysis (including age, sex, smoking, diabetes, body mass index, total cholesterol, low- and high-density lipoprotein cholesterol, triglycerides, C-reactive protein, albumin, phosphorus, calcium, and iPTH) 48-hour systolic (P < 0.001) and diastolicABPM (P < 0.005) still remain significantly associated with cfPWV. Only 48-hour ABPM was associated with cfPWV in HD patients in our study. We found no relationship between cfPWV and other cardiovascular risk factors.

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Ketersediaan

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Informasi Detail

Judul Seri

Therapeutic Apheresis and Dialysis

No. Panggil

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Penerbit

: Therapeutic Apheresis and Dialysis © 2011 International Society for Apheresis., 2011

Deskripsi Fisik

Therapeutic Apheresis and Dialysis 15(3):273–277, 2011

Bahasa

English

ISBN/ISSN

doi: 10.1111/j.1744-

Klasifikasi

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Tipe Isi

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Tipe Media

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Tipe Pembawa

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Edisi

15(3), 2011

Subjek

TERAPI
APHERESIS DAN DIALYSIS

Info Detail Spesifik

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Pernyataan Tanggungjawab

deliza

Versi lain/terkait

Lampiran Berkas

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