Challenges in blood pressure measurement in patients treated with maintenance hemodialysis.
The association between blood pressure and cardiovascular outcomes in patients undergoing hemodialysis remains controversial. This may relate in part to the technique and device used and the timing of the blood pressure measurement in relation to the hemodialysis procedure. Emerging evidence indicates that standardized hemodialysis unit blood pressure measurements or measurements obtained at home, either by the patient or using an ambulatory blood pressure monitor, may offer advantages over routine hemodialysis unit blood pressure measurements for determining cardiovascular risk and treatment. This review discusses the available evidence and implications for clinicians and clinical trials.
Department of Nephrology, Austin Health, Melbourne, Australia. matthew.roberts@austin.org.au
Matthew A
MA
Roberts
Helen L
HL
Pilmore
Andrew M
AM
Tonkin
Amit X
AX
Garg
Elaine M
EM
Pascoe
Sunil V
SV
Badve
Alan
A
Cass
Francesco L
FL
Ierino
Carmel M
CM
Hawley
D001795:Blood Pressure Determination / Q000379:methods*; D018660:Blood Pressure Monitoring, Ambulatory / Q000379:methods; D002318:Cardiovascular Diseases / Q000209:etiology / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000209:etiology / Q000517:prevention & control*; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000628:therapy*; D008134:Long-Term Care; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods; D016032:Randomized Controlled Trials as Topic; D006435:Renal Dialysis / Q000009:adverse effects* / Q000379:methods; D015203:Reproducibility of Results; D018570:Risk Assessment