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Reversed Dipper Blood-Pressure Pattern Is Closely Related to Severe Renal and Cardiovascular Damage in Patients with Chronic Kidney Disease

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  • Cheng Wang
  • Jun Zhang
  • Xun Liu
  • Cuicui Li
  • Zengchun Ye
  • Hui Peng
  • Zhujiang Chen
  • Tanqi Lou

Abstract

Background: A non-dipper blood pressure (BP) pattern is very common in chronic kidney disease (CKD) patients and affects the progression and development of cardiovascular disease. However, data on the reversed dipper BP pattern on target-organ damage in Chinese CKD patients are lacking. Methods: A total of 540 CKD patients were enrolled. Ambulatory blood pressure monitoring (ABPM), clinical BP, ultrasonographic assessment and other clinical data were collected. Univariate and multivariate analyses were used to ascertain the relationship between ABPM results and clinical parameters. Results: A total of 21.9% CKD patients had a reversed dipper BP pattern, 42% of patients had a non-dipper BP pattern and 36.1% of patients had a dipper BP pattern. Patients with reversed dipper BP pattern had the worst renal function and most severe cardiovascular damages among these CKD patients (p

Suggested Citation

  • Cheng Wang & Jun Zhang & Xun Liu & Cuicui Li & Zengchun Ye & Hui Peng & Zhujiang Chen & Tanqi Lou, 2013. "Reversed Dipper Blood-Pressure Pattern Is Closely Related to Severe Renal and Cardiovascular Damage in Patients with Chronic Kidney Disease," PLOS ONE, Public Library of Science, vol. 8(2), pages 1-9, February.
    • Handle: RePEc:plo:pone00:0055419
    DOI: 10.1371/journal.pone.0055419
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    1. Hajime Kumagai & Hiroyuki Sawatari & Tetsuro Hoshino & Noriyuki Konishi & Yuka Kiyohara & Kengo Kawaguchi & Yoko Murase & Ayako Urabe & Aki Arita & Toshiaki Shiomi, 2022. "Effects of Continuous Positive Airway Pressure Therapy on Nocturnal Blood Pressure Fluctuation Patterns in Patients with Obstructive Sleep Apnea," IJERPH, MDPI, vol. 19(16), pages 1-11, August.

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