 |
|
Loss of Nocturnal Blood Pressure Fall in Patients With Renal Impairment
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
Davidson et al1 reported an excellent study correlating a blunted nocturnal fall in BP with the subsequent decline in renal function. I would like to mention that the loss or reversal of the physiologic nocturnal fall in BP was demonstrated many years ago in chronic kidney disease, independently from external interfering factors.2-3 Patients with chronic nephropathies and patients with essential hypertension were matched by age, sex, and mean 24-hour BP values. Ambulatory BP monitoring was performed in an open hospital ward for 48 hours at 15-minute sampling intervals after standardization of diet, meal times, sleep times, and activity schedules. In essential hypertension, the nocturnal fall in BP was preserved as in normal conditions, whereas patients with renal impairment displayed blunted or reversed nocturnal BP and heart rate patterns. Hence, it appeared that casual measurements of BP confined to daytime may underestimate a hypertensive condition associated with chronic kidney disease. Increased . . . [Full Text of this Article]
AUTHOR INFORMATION
Francesco Portaluppi, MD, PhD
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
RELATED ARTICLES
Loss of Nocturnal Blood Pressure Fall in Patients With Renal Impairment—Reply
Michael B. Davidson and Daniel J. Brotman
Arch Intern Med. 2006;166(19):2159.
EXTRACT
| FULL TEXT
Association of Impaired Diurnal Blood Pressure Variation With a Subsequent Decline in Glomerular Filtration Rate
Michael B. Davidson, John K. Hix, Donald G. Vidt, and Daniel J. Brotman
Arch Intern Med. 2006;166(8):846-852.
ABSTRACT
| FULL TEXT
|
