Kendirlinan Demirkol Ozlem, Oruc Meric, Ikitimur Baris, Ozcan Sevgi, Gulcicek Sibel, Soylu Hikmet, Trabulus Sinan, Altiparmak Mehmet Riza, Seyahi Nurhan
Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
J Clin Hypertens (Greenwich). 2016 Aug;18(8):766-71. doi: 10.1111/jch.12755. Epub 2015 Dec 22.
Hypertension is common in renal transplant recipients (RTRs). Ambulatory blood pressure (BP) monitoring (ABPM) is important in diagnosing hypertension and diurnal BP variation. The authors set out to compare office BP and ABPM measurements to determine diurnal pattern and to evaluate echocardiographic findings in RTRs. ABPM and office BP measurements were compared in 87 RTRs. Echocardiographic evaluation was performed for each patient. The correlations between office and 24-hour ABPM were 0.275 for mean systolic BP (P=.011) and 0.260 for mean diastolic BP (P=.017). Only 36.8% had concordant hypertension between office BP and ABPM, with a masked hypertension rate of 16.1% and white-coat effect rate of 24.1%. Circadian BP patterns showed a higher proportion of nondippers (67.8%). Left ventricular mass index was increased in 21.8% of all recipients. There was a significant but weak correlation between office BP and ABPM.
高血压在肾移植受者（RTRs）中很常见。动态血压（BP）监测（ABPM）对于诊断高血压和评估血压的昼夜变化很重要。作者旨在比较诊室血压和ABPM测量值，以确定昼夜模式，并评估RTRs的超声心动图检查结果。对87例RTRs进行了ABPM和诊室血压测量。对每位患者进行了超声心动图评估。诊室血压与24小时ABPM之间的相关性，平均收缩压为0.275（P = 0.011），平均舒张压为0.260（P = 0.017）。只有36.8%的患者在诊室血压和ABPM之间存在一致的高血压，隐匿性高血压率为16.1%，白大衣效应率为24.1%。昼夜血压模式显示非勺型血压者的比例较高（67.8%）。所有受者中有21.8%的左心室质量指数升高。诊室血压与ABPM之间存在显著但较弱的相关性。
