AMBULATORY BLOOD-PRESSURE MONITORING IN PEDIATRIC-PATIENTS TREATED BY REGULAR HEMODIALYSIS AND PERITONEAL-DIALYSIS

被引：43

作者：

LINGENS, N ^{[1
]}

SOERGEL, M ^{[1
]}

LOIRAT, C ^{[1
]}

BUSCH, C ^{[1
]}

LEMMER, B ^{[1
]}

SCHARER, K ^{[1
]}

机构：

[1] UNIV HEIDELBERG,CHILDRENS HOSP,DIV PAEDIAT NEPHROL,D-69120 HEIDELBERG,GERMANY

来源：

PEDIATRIC NEPHROLOGY | 1995年 / 9卷 / 02期

关键词：

AMBULATORY BLOOD PRESSURE MEASUREMENT; HYPERTENSION; HEMODIALYSIS; PERITONEAL DIALYSIS;

D O I：

10.1007/BF00860734

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Ambulatory blood pressure monitoring (ABPM) has been shown to be more representive of blood pressure (BP) levels than casual BP measurements in adult patients treated by haemodialysis (HD). In this study we compared ABPM using the oscillometric SpaceLabs 90207 monitor with casual BP measurements in 35 paediatric patients [17 treated by peritoneal dialysis (PD) and 18 by HD]. Heart rate and plasma concentrations of atrial natriuretic peptide were also measured. No correlations were found between ABPM and casual BP measurements, except for systolic day-time BP in PD patients (r = 0.63). Seventy percent of PD and 33% of HD patients were regarded as hypertensive when evaluated by ABPM, while casual BP measurements demonstrated hypertension in 47% (P < 0.05) of PD patients and in 44% (NS) of HD patients. One-third of patients were reclassified by ABPM either from normotensive to hypertensive (7/19) or from hypertensive to normotensive (5/16). BP assessed by ABPM was higher in PD than in HD patients. The physiological decline of BP at night was significant and more pronounced in PD than in HD patients. In HD patients day-time BP did not differ between the Ist and the 2nd interdialytic day, but increased in the night hours before the following dialysis session. A positive correlation was found between day-time BP and pre-dialysis plasma atrial natriuretic peptide in both treatment groups. In conclusion this study demonstrates that casual BP recordings are not representative of average BP in dialysed paediatric patients. ABPM is useful in the diagnosis and treatment of hypertension in children with endstage renal disease.

引用

页码：167 / 172

页数：6

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