[Circadian blood pressure pattern in the patients with chronic glomerulonephritis].
Circadian blood pressure pattern in the patients with chronic glomerulonephritis was studied by ambulatory 24-hour blood pressure monitoring (ABPM). Subjects were 32 patients and were divided into three groups with various renal function; Ccr of 10 patients were normal (Ccr > or = 70 ml/min), 10 patients 30 < or = Ccr < 70 ml/min and the Ccr were below 30 ml/min in the other 12 patients. Blood pressure levels were significantly higher in reduced Ccr groups as compared with normal Ccr cases. The blood pressure gradient between day-time (7:00-19:00) and sleeping time (1:00-5:00) significantly decreased in the patients with renal impairment as compared with normal Ccr cases. And it positively correlated with Ccr (r = 0.51, p < 0.01). These results indicate that the patients with reduced renal function in chronic glomerulonephritis show abnormal circadian blood pressure pattern and nocturnal hypertension, which may require novel modification of antihypertensive treatment.
Hayashi
T
T
Department of Nephrology, Osaka Prefectural Hospital, Japan.
Shoji
T
T
Kitamura
E
E
Okada
N
N
Nakanishi
I
I
Tsubakihara
Y
Y
D001794:Blood Pressure / Q000502:physiology*; D015924:Blood Pressure Monitors; D002908:Chronic Disease; D002940:Circadian Rhythm; D005921:Glomerulonephritis / Q000503:physiopathology*; D006339:Heart Rate; D006801:Humans; D007668:Kidney / Q000503:physiopathology*; D008875:Middle Aged