高血圧を有する維持血液透析患者における血圧日内変動の解析と背景因子に関する検討

書誌事項

タイトル別名
  • Ambulatory blood pressure pattern, risk factors for atherosclerosis and prognosis in hemodialysis patients with hypertension.
公開日
2002
DOI
  • 10.4009/jsdt.35.1219
公開者
一般社団法人 日本透析医学会

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説明

In this study, we used ambulatory blood pressure monitoring to study the relationship between the nocturnal blood pressure (BP) pattern and clinical parameters, especially risk factors for atherosclerosis and dialysisrelated factors. The patients were divided into two groups according to the magnitude of the nocturnal fall in BP: dippers and non-dippers. The groups were similar in gender, age, duration of hernodialysis, body mass index, class and number of antihypertensive drugs used per patient. Eleven of 20 patients (55%) showed a nondipper pattern. Non-dippers showed significantly lower hematocrit than dippers (28±3% vs 32±2%, p<0.01). In non-dippers, high pulse pressure (PP≥85mmHg) and low protein intake (PCR<0.9g/kg/day) were significantly more frequent.

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