[Hypertension and 24-hours blood pressure monitoring in kidney diseases].
Hypertension is common in most types of kidney diseases and it may lead to end-stage renal failure. The pathogenesis of hypertension in kidney disease is multifactorial. High blood pressure may accelerate the progression of kidney diseases, and it has major contribution to the high cardiovascular risk of these patients. Twenty-four hour ambulatory blood pressure monitoring makes the diagnosis of hypertension faster and more accurate and enables the diagnosis of "white-coat hypertension". It makes possible to study the diurnal blood pressure rhythm and the effect of the antihypertensive medication. In the majority of kidney diseases the normal diurnal blood pressure rhythm is lost. Hypertension and abnormal circadian blood pressure rhythm accelerates the development of end-stage renal disease and they are major contributors of the high cardiovascular mortality of patients with renal disorders. Therefore, ambulatory blood pressure monitoring should be part of the routine evaluation of patients with renal disorders.
Csiky
Botond
B
Pécsi Tudományegyetem, Altalános Orvostudományi Kar, II. Belgyógyászati Klinika és Nefrológiai Centrum, Fresentus Medical Care Dialízis Centrum, Pécs.
Wittmann
István
I
Nagy
Judit
J
D001794:Blood Pressure; D018660:Blood Pressure Monitoring, Ambulatory; D002940:Circadian Rhythm; D006801:Humans; D006977:Hypertension, Renal / Q000503:physiopathology*; D007674:Kidney Diseases / Q000150:complications / Q000503:physiopathology*; D009398:Nephrology / Q000592:standards