دورية أكاديمية
Current apparent treatment‐resistant hypertension in patients undergoing peritoneal dialysis: A multi‐center cross‐sectional study
| العنوان: | Current apparent treatment‐resistant hypertension in patients undergoing peritoneal dialysis: A multi‐center cross‐sectional study |
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| المؤلفون: | Dan Li, Zhihao Huo, Danyang Liu, Nirong Gong, Fen Zhang, Yaozhong Kong, Yunfang Zhang, Xiaoyan Su, Qingdong Xu, Jiexia Feng, Fuzhang Luo, Cheng Wang, Xianrui Dou, Guohui Sun, Difei Zhang, Xianhui Qin, Guangqing Zhang, Fuhua Lu, Jun Ai |
| المصدر: | The Journal of Clinical Hypertension, Vol 24, Iss 4, Pp 493-501 (2022) |
| بيانات النشر: | Wiley, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Diseases of the circulatory (Cardiovascular) system |
| مصطلحات موضوعية: | apparent treatment‐resistant hypertension, dialysis adequacy, home blood pressure monitoring, peritoneal dialysis, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| الوصف: | Abstract Apparent treatment‐resistant hypertension (aTRH) is the most commonly used term to report resistant hypertension (RH) and is considered as a common problem in dialysis population. However, few reports have focused on peritoneal dialysis (PD) hypertensive patients. The authors conducted a multi‐center cross‐sectional study involving 1789 PD patients from nine centers in Guangdong, China. The prevalence of aTRH was estimated by home blood pressure (BP) monitoring. Evaluating drug adherence through Eight‐item Morisky Medication Adherence Scale (MMAS‐8) and pill counting was performed to assess RH in one PD center. Related factors of aTRH were analyzed using logistic regression analysis. The prevalence of aTRH in PD patients was estimated at 42.2% (755 out of 1789 hypertensive patients) based on home BP. Of those, 91.4% patients were classified as uncontrolled RH, 2.0% as controlled RH, and 6.6% as refractory hypertension. The prevalence of RH was 40.6% and 41.9% among those with medium/high adherence based on the MMAS‐8 scores and the pill counting rate, respectively. PD patients who were younger, with higher body mass index, with lower serum albumin and poorer dialysis adequacy were significantly associated with higher aTRH incident. In conclusion, the present study demonstrates a high prevalence of aTRH in PD population, which occurs in about two in five treated hypertensive patients. Nutritional status and dialysis adequacy might tightly associate with aTRH. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1751-7176 1524-6175 |
| العلاقة: | https://doaj.org/toc/1524-6175Test; https://doaj.org/toc/1751-7176Test |
| DOI: | 10.1111/jch.14455 |
| الوصول الحر: | https://doaj.org/article/10443c5533814badafd75155ac8bc9d2Test |
| رقم الانضمام: | edsdoj.10443c5533814badafd75155ac8bc9d2 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 17517176 15246175 |
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| DOI: | 10.1111/jch.14455 |