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Year : 2022  |  Volume : 16  |  Issue : 2  |  Page : 189-194

A study comparing office blood pressure with ambulatory blood pressure in successful adult kidney-transplant recipients at a tertiary care center in North India

1 Department of Medicine, SKIMS Medical College, Bemina, Srinagar, Jammu and Kashmir, India
2 Department of Internal Medicine, SKIMS, Soura, Srinagar, Jammu and Kashmir, India
3 Department of Nephrology, SKIMS, Soura, Srinagar, Jammu and Kashmir, India
4 Department of Medicine, SKIMS Medical College, Bemina, India
5 Department of Urology, SKIMS, Soura, Srinagar, Jammu and Kashmir, India

Correspondence Address:
Dr. Muzafar Naik
Department of General Medicine, SKIMS Medical College and Hospital, Bemina, Srinagar 190 015, Kashmir, Jammu and Kashmir
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijot.ijot_46_21

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Introduction: Hypertension is common following successful renal transplantation and has adverse effects on cardio-vascular and graft health. Blood pressure (BP) readings obtained during clinical visits can be misleading and ambulatory blood pressure monitoring (ABPM) is a more reliable and accurate non-invasive method of BP monitoring. Aims and Objectives: To compare office BP with ambulatory BP recordings in successful adult kidney transplant recipients (KTRs). Material and Methods: Office BP (OBP) was measured with mercury sphygmomanometer according to standardized procedure as the mean of two readings taken 1 minute apart; thereafter, 24 hour ABPM was done using automated oscillometric device (Meditech device) in 56 KTRs. Results: OBP missed hypertension in 68% of KTRs who had normal OBP (masked phenomenon) and OBP overestimated hypertension in 11% of KTRs with uncontrolled OBP (white coat phenomenon). Thirty-four percent of patients were normal dippers, 32% non-dippers, 25% reverse dippers and 9% were extreme dippers. Conclusions: ABPM is a valuable tool in detecting dipping status, white coat and masked phenomena which are frequent problems among KTRs and should be considered as part of routine management of hypertension in KTRs.

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