title: Ambulatory Blood Pressure Monitoring and Echocardiographic Findings in Renal Transplant Recipients.
abstract: Hypertension is common in renal transplant recipients (RTRs). Ambulatory blood pressure (BP) monitoring (ABPM) is important in diagnosing hypertension and diurnal BP variation. The authors set out to compare office BP and ABPM measurements to determine diurnal pattern and to evaluate echocardiographic findings in RTRs. ABPM and office BP measurements were compared in 87 RTRs. Echocardiographic evaluation was performed for each patient. The correlations between office and 24-hour ABPM were 0.275 for mean systolic BP (P=.011) and 0.260 for mean diastolic BP (P=.017). Only 36.8% had concordant hypertension between office BP and ABPM, with a masked hypertension rate of 16.1% and white-coat effect rate of 24.1%. Circadian BP patterns showed a higher proportion of nondippers (67.8%). Left ventricular mass index was increased in 21.8% of all recipients. There was a significant but weak correlation between office BP and ABPM.
authors.affiliation: Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
authors.forename: Ozlem
authors.initials: O
authors.lastname: Kendirlinan Demirkol
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
authors.forename: Meric
authors.initials: M
authors.lastname: Oruc
authors.affiliation: Department of Cardiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
authors.forename: Baris
authors.initials: B
authors.lastname: Ikitimur
authors.affiliation: Department of Cardiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
authors.forename: Sevgi
authors.initials: S
authors.lastname: Ozcan
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
authors.forename: Sibel
authors.initials: S
authors.lastname: Gulcicek
authors.affiliation: Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
authors.forename: Hikmet
authors.initials: H
authors.lastname: Soylu
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
authors.forename: Sinan
authors.initials: S
authors.lastname: Trabulus
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
authors.forename: Mehmet Riza
authors.initials: MR
authors.lastname: Altiparmak
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
authors.forename: Nurhan
authors.initials: N
authors.lastname: Seyahi
mesh_terms: D000328:Adult; D001795:Blood Pressure Determination / Q000379:methods*; D018660:Blood Pressure Monitoring, Ambulatory; D004452:Echocardiography; D005260:Female; D006321:Heart / Q000502:physiology*; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D059468:Masked Hypertension / Q000175:diagnosis / Q000453:epidemiology*; D008875:Middle Aged; D066027:Transplant Recipients; D059466:White Coat Hypertension / Q000175:diagnosis / Q000453:epidemiology*