[The value of noninvasive 24-hour blood pressure measurement in patients with renoparenchymal, renovascular or severe essential hypertension].
210 patients receiving antihypertensive treatment underwent non-invasive ambulatory blood-pressure monitoring for the first time. 44 suffered from chronic renal failure, 51 had been renal transplanted, 36 had chronic glomerulonephritis, 36 had renovascular hypertension, and 43 had essential hypertension with severe end-organ damage. We analyzed the Circadian rhythm and the rate of insufficient antihypertensive treatment. While mean daytime systolic and diastolic blood pressure were not different between groups, patients with chronic renal failure, renal transplant or glomerulonephritis showed a very high rate (95-72%) of absent nighttime blood-pressure reduction. In patients with renovascular hypertension or complicated essential hypertension there was a lower rate (69-40%) of absent nighttime blood pressure reduction. The ambulatory blood-pressure monitoring led to a modification of antihypertensive treatment in 78% of patients because of nighttime hypertension. We think that ambulatory blood-pressure monitoring is an essential tool for physicians treating patients with renal disease or complicated essential hypertension.
Hollenbeck
M
M
Medizinische Klinik und Poliklinik, Abteilung für Nephrologie, Heinrich-Heine-Universität, Düsseldorf.
Kutkuhn
B
B
Bosma
A
A
Morgera
S
S
Grabensee
B
B
D000959:Antihypertensive Agents / Q000627:therapeutic use; D001794:Blood Pressure / Q000187:drug effects / Q000502:physiology; D015924:Blood Pressure Monitors; D002940:Circadian Rhythm / Q000187:drug effects / Q000502:physiology*; D003937:Diagnosis, Differential; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000503:physiopathology*; D006977:Hypertension, Renal / Q000175:diagnosis / Q000503:physiopathology*; D006978:Hypertension, Renovascular / Q000175:diagnosis / Q000503:physiopathology*; D007676:Kidney Failure, Chronic / Q000503:physiopathology / Q000601:surgery; D016030:Kidney Transplantation / Q000502:physiology; D011183:Postoperative Complications / Q000188:drug therapy / Q000503:physiopathology; D006435:Renal Dialysis; D012894:Sleep Stages / Q000187:drug effects / Q000502:physiology
D000959:Antihypertensive Agents
Stellenwert der nichtinvasiven 24-Stunden-Blutdruckmessung bei Patienten mit renoparenchymatöser, renovaskulärer oder schwerer essentieller Hypertonie.