Saudi Journal of Kidney Diseases and Transplantation

RENAL DATA FROM THE ARAB WORLD
Year
: 2019  |  Volume : 30  |  Issue : 4  |  Page : 913--918

Usefulness of ambulatory blood pressure monitoring in chronic kidney disease: The moroccan experience


Mohammed Asserraji1, Abdelmajed Bouzerda2, Safia Soukrate3, Omar Maoujoud1, Merouane Belarbi1, Nadir Zemraoui1, Leila Bendriss3, Ali Khatouri3 
1 Department of Nephrology, Avicenne Military Hospital and Marrakech School of Medicine, Cadi Ayyad University, Marrakech, Morocco
2 Department of Cardiology, Mohammed V Armed Forces Hospital, Rabat, Morocco
3 Department of Cardiology, Avicenne Armed Forces Hospital, Marrakesh, Morocco

Correspondence Address:
Mohammed Asserraji
Department of Nephrology, Avicenne Military Hospital, Marrakech
Morocco

Among patients with chronic kidney disease (CKD), hypertension (HTN) is very common and widely recognized to accelerate the progression of CKD and increase the risk for cardiovascular events. Accumulated data indicate that ambulatory blood pressure monitoring (ABPM) is better in detecting HTN than office blood pressure (BP) measurement. The goal of this study is to describe the ABPM characteristics in a group of CKD and hypertensive patients. A transversal study was conducted over a period of six months, to evaluate the ABPM patterns among a group of hypertensive patients with CKD (Group 1) and compared the data with a control group (Group 2). ABPM was performed with measurement rate every 15 min during daytime and 30 min at night. Nondipping BP patterns were defined as the absence of fall in nocturnal systolic and diastolic BP >10% of daytime values. Masked HTN was defined as controlled office BP (<140/90 mm Hg) with an elevated overall average BP by 24-h ABPM (>125/75 mm Hg), and white-coat HTN was defined as association of elevated BP readings (>140/90 mm Hg) in a clinical setting and normal 24-h average BP levels (<130/80 mm Hg). Fifty patients were included in each group. HTN was much longer in duration among hypertensive patients with CKD and frequently associated with obesity, dyslipidemia, and diabetes (64% vs. 39.60%). Positive proteinuria was present in 82% of CKD patients with HTN. CKD patients with HTN received more antihypertensive drugs than Group 2 patients. HTN was much more uncontrolled among CKD patients (60% vs. 24%), more serious with higher daytime and nighttime SBP, and loss of physiologic dipping during nighttime BP measurement (80%). Out-of-office BP monitoring by ABPM may improve the assessment and the successful management of HTN in patients with CKD. Standardized definitions for the diagnosis of masked and white-coat HTN would facilitate research.


How to cite this article:
Asserraji M, Bouzerda A, Soukrate S, Maoujoud O, Belarbi M, Zemraoui N, Bendriss L, Khatouri A. Usefulness of ambulatory blood pressure monitoring in chronic kidney disease: The moroccan experience.Saudi J Kidney Dis Transpl 2019;30:913-918


How to cite this URL:
Asserraji M, Bouzerda A, Soukrate S, Maoujoud O, Belarbi M, Zemraoui N, Bendriss L, Khatouri A. Usefulness of ambulatory blood pressure monitoring in chronic kidney disease: The moroccan experience. Saudi J Kidney Dis Transpl [serial online] 2019 [cited 2020 Oct 20 ];30:913-918
Available from: https://www.sjkdt.org/article.asp?issn=1319-2442;year=2019;volume=30;issue=4;spage=913;epage=918;aulast=Asserraji;type=0