Blood pressure profile in contiuous ambulatory peritoneal dialysis patients
| dc.contributor.author | Bain, Arba’iyah | |
| dc.contributor.author | Cader, Rizna Abdul | |
| dc.contributor.author | Gafor, Halim Abdul | |
| dc.contributor.author | Ibrahim, Suriani | |
| dc.contributor.author | Kong, Norella C.T. | |
| dc.contributor.author | Mohd, Rozita | |
| dc.contributor.author | Wan Haslina, W.H. | |
| dc.date.accessioned | 2012-10-11T12:30:35Z | |
| dc.date.available | 2012-10-11T12:30:35Z | |
| dc.date.issued | 2012-10-11 | |
| dc.description.abstract | Background: Cardiovascular mortality is the leading cause of death in end stage renal disease. Despite being on continuous ambulatory peritoneal dialysis (CAPD), blood pressure (BP) remains poorly controlled. A higher pulse pressure and non dipping are associated with increased cardiovascular mortality. We studied BP control and the prevalence of non dipping in CAPD patients. Methods: All patients undergoing CAPD at our institution who met the inclusion criteria were recruited. We compared BP control and dipping status in diabetic and non diabetic pa-tients on CAPD. We also determined whether BP and peritoneal membrane permeability were associated. Results: Forty six patients with a mean age 45 ± 13 years were enrolled. Diabetic patients were older (mean age 54 ± 13 vs. 40 ± 11 yrs, p <0.001), had a lower mean diastolic BP (80 ± 14 vs. 90 ± 14 mmHg, p = 0.025) and a higher mean pulse pressure (59 ± 17 vs. 49 ± 14 mmHg, p = 0.035). They were also non dippers (n = 15 vs. n = 1, p = 0.007). The low and low average transporters tended to have a higher systolic BP (p = 0.054) and a higher pulse pressure (p = 0.058). On multivariate analysis, age was the main predictor of pulse pressure. Conclusion: Despite being on chronic maintenance PD, BP was not well controlled. Diabetic patients had a higher pulse pressure and were non dippers thereby increasing their cardiovascular risk. We should therefore optimize BP control and aim to restore the nocturnal dip in these patients. | en |
| dc.identifier.issn | 1611-2156 | |
| dc.identifier.uri | http://hdl.handle.net/2003/29665 | |
| dc.identifier.uri | http://dx.doi.org/10.17877/DE290R-5607 | |
| dc.language.iso | en | de |
| dc.relation.ispartofseries | EXCLI Journal ; Vol. 11, 2012 | en |
| dc.subject | ambulatory blood pressure monitoring | en |
| dc.subject | cardiovascular mortality | en |
| dc.subject | continuous ambulatory peritoneal dialysis | en |
| dc.subject | diabetes mellitus | en |
| dc.subject | dipping | en |
| dc.subject | diurnal variation | en |
| dc.subject | pulse pressure | en |
| dc.subject.ddc | 610 | |
| dc.title | Blood pressure profile in contiuous ambulatory peritoneal dialysis patients | en |
| dc.type | Text | de |
| dc.type.publicationtype | article | de |
| dcterms.accessRights | open access | |
| eldorado.dnb.zdberstkatid | 2132560-1 |