ĐIỂM TRŨNG HUYẾT ÁP TRÊN NGƯỜI BỆNH THẬN MẠN ĐẠT MỤC TIÊU HUYẾT ÁP PHÒNG KHÁM

Abstract

Introduction: Chronic kidney disease (CKD) is a prevalent health condition. Optimal control of hypertension in this population is crucial for improving outcomes. Blood pressure dipping is an important parameter assessed through 24-hour ambulatory blood pressure monitoring, shown to be associated with mortality and cardiovascular events. Methods: A data-revisited descriptive study was conducted on 178 CKD patients ranging from stage 3 to stage 5 who achieved office blood pressure targets. 24-hour ambulatory blood pressure monitoring was performed to evaluate blood pressure dipping. Results: 15.2% of participants had a normal dipping pattern and 2.2% had deep dipping. Among those with abnormal blood pressure dipping, 53.9% had blunted dipping and 28.7% had reverse dipping. There was a statistically significant difference in the prevalence of normal blood pressure dipping between the controlled blood pressure group and the masked uncontrolled blood pressure group (26.4% vs. 3.4%, p < 0.001). Conclusion: The majority of CKD patients exhibit abnormalities in blood pressure dipping, with a predominance occurring in the group with masked uncontrolled hypertension.