Journal article
Challenges in blood pressure measurement in patients treated with maintenance hemodialysis
MA Roberts, HL Pilmore, AM Tonkin, AX Garg, EM Pascoe, SV Badve, A Cass, FL Ierino, CM Hawley
American Journal of Kidney Diseases | W B SAUNDERS CO-ELSEVIER INC | Published : 2012
Abstract
The association between blood pressure and cardiovascular outcomes in patients undergoing hemodialysis remains controversial. This may relate in part to the technique and device used and the timing of the blood pressure measurement in relation to the hemodialysis procedure. Emerging evidence indicates that standardized hemodialysis unit blood pressure measurements or measurements obtained at home, either by the patient or using an ambulatory blood pressure monitor, may offer advantages over routine hemodialysis unit blood pressure measurements for determining cardiovascular risk and treatment. This review discusses the available evidence and implications for clinicians and clinical trials. ©..
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Awarded by National Health and Medical Research Council
Funding Acknowledgements
Dr Roberts is supported by a National Health and Medical Research Council of Australia (NHMRC) Training Fellowship (628902). Dr Cass is supported by an NHMRC Principal Research Fellowship (1027204). The BLOCADE Feasibility Study has purchased Omron HEM7211 home BP measurement devices at a discounted price to use in the study; the authors attest that this arrangement had no effect on the decision to write this article or its content.