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Home blood pressure monitoring in CKD.

Authors
  • Cohen, Debbie L1
  • Huan, Yonghong2
  • Townsend, Raymond R2
  • 1 Renal, Electrolyte and Hypertension Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA. Electronic address: [email protected]
  • 2 Renal, Electrolyte and Hypertension Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Type
Published Article
Journal
American Journal of Kidney Diseases
Publisher
Elsevier
Publication Date
May 01, 2014
Volume
63
Issue
5
Pages
835–842
Identifiers
DOI: 10.1053/j.ajkd.2013.12.015
PMID: 24529535
Source
Medline
Keywords
License
Unknown

Abstract

Hypertension is common in patients with chronic kidney disease (CKD) and the prevalence increases with declining kidney function. Hypertension management is particularly important due to the increased risk of cardiovascular disease and stroke in the CKD population. Most clinical decisions for blood pressure (BP) management are based on BP readings in the office or dialysis unit. These BP readings often are inaccurate. Home BP monitoring provides more data than conventional clinic or dialysis-unit BP measurements and is relatively easy to accomplish, is cost-effective, and has been shown to have an increasing role in the management of BP in the CKD population. This In Practice article focuses on the use of home BP monitoring in patients with CKD. We also provide guidance for choosing a BP monitoring device and review recent literature regarding the use of home BP monitoring and the effect on CKD outcomes. In addition, we address the future use of electronic medical records and how they may interface with home BP monitoring.

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