Diagnostic performance of office vs ambulatory blood pressure in kidney transplant recipients
American Journal of Nephrology Jul 29, 2021
Korogiannou M, Sarafidis P, Theodorakopoulou MP, et al. - To date, no study evaluated in parallel the prevalence, control, as well as phenotypes of blood pressure (BP) or the precision of currently advised office BP diagnostic thresholds in diagnosing increased ambulatory BP in kidney transplant recipients (KTRs), so, researchers investigated this topic by conducting this study with 205 stable KTRs. Participants were asked to undergo office BP measurements and 24-h ambulatory BP monitoring (ABPM). By office BP, hypertension prevalence was revealed to be 88.3% with ESC/ESH (European Society of Cardiology/European Society of Hypertension) and 92.7% with ACC/AHA (American College of Cardiology/American Heart Association) definitions vs 94.1 and 98.5% at relevant ABPM thresholds. In patients with hypertension, control rates were identified to be 69.6 and 43.7% with office BP vs 38.3 and 21.3% with ABPM, respectively. Among KTRs, a particularly high hypertension prevalence as well as poor BP control were revealed via ABPM, at both corresponding thresholds examined. A substantial misclassification of KTRs by office BP was evident, which was attributable to particularly high rates of masked hypertension. Findings showed a poor diagnostic accuracy of office BP for detecting increased ambulatory BP. These data call for a wider employment of ABPM in KTRs.
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