People with normal Blood Pressure at their clinic but elevated Blood Pressure at home (masked hypertension) experienced Cadiovascular events or died much more frequently than those who had moderated Blood Pressure consistantly. This new finding is important to most people with Chronic Kidney Disease (CKD) because they are at an extremely high risk of developing Cardiovascular Disease (heart disease) mainly because of high blood pressure (hypertension) which is a major risk factor for mortality (death). In fact, it is the leading cause of death among those on dialysis.
The hypertension numbers are quite staggering, occurring in 84.1% of people in CKD stage 4 to 5, and 59.9% of those in stage 3. 35.8% to 48.1% of people in earlier stages 1 and 2 as well as 87% of Diabetics have an elevated risk for End Stage Renal Disease or Cardiovascular death because of their challenges with high blood pressure.
The authors of this new study found that patients with masked hypertension were more likely to be male, to smoke, to have diabetes, to have a history of cardiovascular disease, or to be older and more obese. They asserted that by using home blood pressure monitors, an individual can "substantially" minimize their risk of cardiovascular complications or death, and better manage their blood pressure levels.
Consequently, the study authors noted, "we suggest that in individuals at risk for masked hypertension, home blood pressure monitoring should be included in the strategy of primary prevention of cardiovascular complications." In some cases, your insurance may cover blood pressure monitors, but if not you can pick an inexpensive monitor up from the drug store. You should talk with your Nephrologists or nurses about how to properly use a blood pressure monitor including where to best apply the cuff (do not disturb your fistula) to obtain the most accurate reading possible.
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"Elevated Blood Pressure at Home but Not in Clinic Can Indicate Increased Heart Attack Risk." Http://medicalxpress.com/. Medical Xpress.
Kei Asayama, Lutgarde Thijs, Jana Brguljan-Hitij, Teemu J. Niiranen, Atsushi Hozawa, José Boggia, Lucas S. Aparicio, Azusa Hara, Jouni K. Johansson, Takayoshi Ohkubo, Christophe Tzourio, George S. Stergiou, Edgardo Sandoya, Ichiro Tsuji, Antti M. Jula, Yutaka Imai, Jan A. Staessen. "Elevated Blood Pressure at Home but Not in Clinic Can Indicate Increased Heart Attack Risk." Http://www.sciencedaily.com/. ScienceDaily, LLC.