Sturani A, Degli Esposti E, Lucatello A, Cocchi R, Giangrande
A for the Italian PD Study Group
Myths and reality of hypertension in peritoneal dialysis:
results of a multicenter study
12th Annual ASH Meeting
Am J Hypertens
(Apr) 10:191A 1997
It has been a consensus that BP control is easier to achieve on CAPD compared
to HD. This
study aims to confirm that and investigate other aspects of BP control in
this population,
including diurnal variation and white-coat phenomenon.
404 CAPD patients underwent ambulatory BP measurements, as well as office
readings. 89.4%
were hypertensive, 82.1% on medications. Elevation of office BP compared to
home readings
correlated with the degree of hypertension. Depending upon criteria, between
53.1 and
64.9% of patients were non-dippers.
Comment: The finding of over 80% on medications is surprising. To
better interpret
this, additional data would be needed beyond that in the abstract, including:
measures
taken to ensure that the patients were at dry weight; primary renal diagnosis
and
prevalence of vascular disease; age distribution; which and how many
antihypertensive
agents in use. The finding of a high incidence of non-dippers is of
interest,
particularly in light of the growing interest in sleep disorder in ESRD.
(James A. Sondheimer MD, Wayne State University, Detroit, MI)
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12th Annual ASH Meeting
CRF by organ system :
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