The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.
Home blood pressure monitoring improves the diagnosis of hypertension in hemodialysis patients
Open accessAbstract
Using interdialytic ambulatory blood pressure (BP) recordings as the reference standard, we compared the performance of routine, standardized and home BP monitoring in 104 predominantly black patients on chronic hemodialysis for at least 3 months. Dialysis unit BP recordings were averaged over 2 weeks and home BP over 1 week. Awake ambulatory BP of > or =135 mmHg systolic or > or =85 mmHg diastolic was taken as evidence of hypertension. Average awake ambulatory BP was 128.1+/-21.6/73.5+/-13.5 mmHg, home BP 141.3+/-21.9/78.7+/-11.9 mmHg, standardized pre-dialysis BP 141.7+/-22.6/74.2+/-13.5 mmHg and post-dialysis 119.9+/-20.5/69.1+/-13.1 mmHg, routine pre-dialysis 145.4+/-21.8/79.0+/-13.1 mmHg and post-dialysis 131.5+/-19.2/72.5+/-11.4 mmHg. Sixty-three percent of the patients had well-controlled BP by ambulatory BP monitoring and isolated diastolic hypertension was rare (3%). The standard deviation of the differences between ambulatory and routine pre-dialysis BP was 17.6 mmHg, routine post-dialysis was 16.1 mmHg, standardized pre-dialysis was 16.4 mmHg, standardized post-dialysis was 14.1 mmHg, and home BP was 14.2 mmHg. The area under receiver operating characteristic curves was similar for home and standardized BP but lower for routine BP. Home systolic BP of > or =150 mmHg averaged over 1 week had the best combination of sensitivity (80%) and specificity (84.1%) in diagnosing systolic hypertension--present in 94% of the hypertensive dialysis patients. Home BP monitoring is similar to standardized recording of BP in hemodialysis patients. A systolic BP threshold of 150 mmHg at home averaged over 1 week serves as a useful predictor of hypertension diagnosed by ambulatory BP monitoring.
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“Patients with CKD on haemodialysis are profoundly different from patients with CKD who are not on dialysis; this is so because of varying states of volume excess among patients and volume accumulation in the interdialytic period [204–206].”
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Blood Pressure and Mortality in the 4D Study
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BackgroundCapítulo 5 - Decisão e Metas Terapêuticas
Malachias, M. V. B., Souza, W., Plavnik, F. L., Rodrigues, C., Brandão, A., Neves, M. F., Bortolotto, L. A., Franco, R., Figueiredo, C., Jardim, P., et al. (2016) · Arquivos Brasileiros de Cardiologia · doi:10.5935/abc.20160155 · Cited by 6
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“Patients We recruited patients over 18-years-old when (1) they had been on HD for at least 3 months (2); they were non-hypotension prone (3); they had no advanced heart failure (New York Heart Association III to IV stages) or permanent atrial fibrillation, liver disease, neoplastic illness, ascites or overt edema and…”
MethodDialysis dose and the diagnosis of hypertension in hemodialysis patients
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Self-citationAgarwal, R. (2012) · Journal of the American Society of Hypertension · doi:10.1016/j.jash.2012.08.009 · Cited by 4
“In contrast, home blood pressure greater than 150 mm Hg has a sensitivity of 80% and specificity of 84% in diagnosing interdialytic ambulatory hypertension.(12) Furthermore, systolic home blood pressure is similar to ambulatory blood pressure in predicting echocardiographic left ventricular hypertrophy.”
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Home Pulse Pressure Predicts Death and Cardiovascular Events in Peritoneal Dialysis Patients
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“Different from peri-dialysis measurements, out-of-dialysis BP is more efficient in diagnosing hypertension [29] and in predicting organ damage [29,32,33] in hemodialysis (HD) patients.”
BackgroundWhich blood pressure metrics should be used in patients on dialysis?
Jung, J. Y. (2023) · Kidney Research and Clinical Practice · doi:10.23876/j.krcp.23.126 · Cited by 7
“While the agreement between peridialytic BP and interdi-alytic ABP was poor, average self-measured systolic HBP was useful for detecting hypertension between dialysis using 44-hour ABP monitoring as a reference [45].”
MethodWhat are the Consequences of Volume Expansion in Chronic Dialysis Patients?
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“Home BP correlates more closely with ambulatory BP than does predialysis or postdialysis BP recordings (8).”
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“Previous studies have shown that pre- and post-HD BPs are unsuitable for diagnosing hypertension or estimating ambulatory BP [22].”
BackgroundTheodorakopoulou, M. P., Georgiou, A., Iatridi, F., Karkamani, E., Stamatiou, A., Devrikis, N., Karagiannidis, A. G., Baroutidou, A., & Sarafidis, P. A. (2024) · Hypertension Research · doi:10.1038/s41440-024-01584-z · Cited by 3
“Preliminary evidence suggests that home BP recordings are more accurate indexes of interdialytic BP [29], and display better associations with hard outcomes [10, 11, 30], compared to peridialytic metrics.”
While You Are Sleeping: Marital Ambivalence and Blunted Nocturnal Blood Pressure
Birmingham, W. C., Herr, R. M., Cressman, M., Patel, N., & Hung, M. (2024) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph21060723 · Cited by 2
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“Our observations support findings by other groups where interdialytic measurement of blood pressure was superior to office blood pressure in predicting ambulatory measurements for CKD-5D patients.(31,32) There were several limitations to our study.”
ResultOgura, M., Yamada, Y., Terawaki, H., Hamaguchi, A., Kimura, Y. N., & Hosoya, T. (2011) · Clinical and Experimental Nephrology · doi:10.1007/s10157-011-0575-1 · Cited by 3
“[15] reported that BPs obtained before and after dialysis, even if obtained using standardized methods, agree poorly with interdialytic ambulatory BP.”
MethodFaye, M., Faye, M., Lemrabott, A. T., Cissé, M. M., Fall, K., Keita, A. I., Mbengue, M., Bâ, B., Keïta, N., Diagne, S., et al. (2019) · Saudi Journal of Kidney Diseases and Transplantation · doi:10.4103/1319-2442.270258 · Cited by 3
“The high prevalence of WC-HTN in our study also confirms data described by Agarwal.(2) We should highlight the troubling nature of this WC-HTN in HD patients, as it can mislead doctors to inappropriate therapeutic interventions like decreasing the dry weight and/or prescribing anti-hypertensive medication.”
ResultInfluentialTheodorakopoulou, M. P., Alexandrou, M. E., Iatridi, F., Καρπέτας, Α., Geladari, V., Pella, E., Alexiou, S., Sidiropoulou, M., Ziakka, S., Papagianni, A. A., et al. (2022) · International Urology and Nephrology · doi:10.1007/s11255-022-03369-0 · Cited by 2
“In hemodialysis subjects, preliminary evidence suggests that home BP readings are more accurate indexes of interdialytic BP [36], and display better associations with adverse outcomes and target-organ damage (i.”
BackgroundHypertension in Patients Receiving Dialysis: A Review of the Current Clinical Approach
Rowan, C., Mahony, S., & Redahan, L. (2023) · EMJ Nephrology · doi:10.33590/emjnephrol/10105805 · Cited by 2
Al-Ramahi, R., & Amr, R. (2023) · Palestinian medical and pharmaceutical journal/Palestinian medical & pharmaceutical journal · doi:10.59049/2790-0231.1166 · Cited by 2
Costa, D., & Aguiar, F. L. (2021) · IntechOpen eBooks · doi:10.5772/intechopen.96416 · Cited by 2
Blood Pressure and Hemodialysis
Ekart, R., Bevc, S., & Hojs, R. (2011) · InTech eBooks · doi:10.5772/24345 · Cited by 2
“In one of the largest study to date 44-h ABPM and home blood pressure monitoring, although weak determinants of left ventricular hypertrophy, were superior to a 2-week average of standardizes and routine dialysis center measurements in 140 chronic hemodialysis patients (Agarwal et al, 2006c).”
BackgroundMethodCapítulo 8 - Hipertensão e Condições Clínicas Associadas
Malachias, M. V. B., Souza, W., Plavnik, F. L., Rodrigues, C., Brandão, A., Neves, M. F., Bortolotto, L. A., Franco, R., Figueiredo, C., Jardim, P., et al. (2016) · Arquivos Brasileiros de Cardiologia · doi:10.5935/abc.20160158 · Cited by 3
Effect of Improving Volume Overload on Home Blood Pressure Variability in Hemodialysis Patients
Chen, Z., Liu, J., Sun, F., Shen, Y., Ma, L.-J., & Zhou, Y.-L. (2020) · Therapeutic apheresis and dialysis · doi:10.1111/1744-9987.13427 · Cited by 3
“The management of morning home BPV seemed to be essential, as the prevalence of cardiovascular events were higher in the morning than at other times (9), especially for HD patients who experienced greater hemodynamic instability.”
BackgroundPrevalence of coronary risk factors in load transport drivers
Braga, B. B., Ferreira, F. G., Reis, H. H. T., & Marins, J. C. B. (2022) · Revista Brasileira de Medicina do Trabalho · doi:10.47626/1679-4435-2022-695 · Cited by 2
Better blood pressure control is not causally linked to intradialytic hypotension.
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Self-citationKontogiorgos, I., Georgianos, P. I., Tsikliras, N., Leonidou, K., Vaios, V., Roumeliotis, S. K., Καρπέτας, Α., Kantartzi, K. M., Panagoutsos, S. A., & Liakopoulos, V. (2024) · Therapeutic Apheresis and Dialysis · doi:10.1111/1744-9987.14142 · Cited by 1
“This method appears to be promising, since earlier studies have shown that home BP improves the diagnosis of hypertension and is more closely associated with the severity of hypertension-mediated target-organ damage as compared with routine or standardized dialy-sis-unit BP [ 8, 12].”
Lin, N.-H., Hsu, R.-Y., Hsieh, M., Chan, C., Chuang, S., Liao, C.-C., Cheng, H.-M., & Wu, C.-C. (2025) · Hypertension Research · doi:10.1038/s41440-025-02450-2 · Cited by 1
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“[21] criticized BPs obtained before and after dialysis, because there were poor correlations between interdialytic ambulatory BP and the averages of pre- and post-dialytic BPs.”
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“However, BP obtained in the dialysis unit (peridialytic BP), even if obtained by standardized methods, agrees poorly with interdialytic ambulatory BP (ABP) [3] [4] [5], and cannot be used to accurately predict the presence or absence of left ventricular hypertrophy (LVH) [6].”
BackgroundRenal Parenchymal Hypertension
Maimaiti, N., Wen, L., Li, X., Wang, L., Abulimiti, A., Tao, W., Jiang, W., & Zhang, D. (2019) · Springer eBooks · doi:10.1007/978-981-15-0591-1_5 · Cited by 1
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“Hence it becomes imperative that hypertension in these patients should be controlled.(2) The blood pressure control recommendation for patients on hemodialysis is similar to that recommended for general population.”
BackgroundAssessment of Volume Status in Chronic Kidney Disease
Paglialonga, F., & Sinha, M. D. (2022) · Springer eBooks · doi:10.1007/978-3-030-52719-8_131 · Cited by 1
Blood Pressure Control in Peritoneal Dialysis
Georgianos, P. I., & Agarwal, R. (2023) · Springer eBooks · doi:10.1007/978-3-030-62087-5_34 · Cited by 1
Self-citationHome BP for assessing haemodialysis hypertension
Agarwal, R. (2007) · Nephrology Dialysis Transplantation · doi:10.1093/ndt/gfm419 · Cited by 1
Self-citationSherman, R. A. (2003) · Seminars in Dialysis · doi:10.1046/j.1525-139x.1999.t01-5-00002.x-i2 · Cited by 1
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Yee, J. (2011) · Advances in Chronic Kidney Disease · doi:10.1053/j.ackd.2010.11.005 · Cited by 1
Cardiovascular effects of irbesartan in haemodialysis patients
Peters, C. D. (2013) · Cited by 1
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Cardiovascular Morbidity in Hemodialysis: The Reverse Epidemiology Phenomenon
Tsangalis, G. (2011) · InTech eBooks · doi:10.5772/22346
“The relative impact of this study (now on its 3rd generation of participants) [1] has been so impressive that both public health authorities and the medical community have fully endorsed its results: since then, hypertension, dyslipidemia, tobacco smoking, diabetes mellitus and more recently obesity and hypertriglycer…”
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Eagle, A. L., Kasiske, L., Carithers, R. L., Ragosta, M., Bolton, K., Auerbach, A. D., Lentine, L., Costa, S. P., Weir, M. R., Robb, J. F., et al. (2014)
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Pokora, P., Adamczak, M., & Więcek, A. (2017) · Arterial Hypertension · doi:10.5603/ah.a2017.0021 · Cited by 1
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Sarafidis, P. A., Georgianos, P. I., & Zoccali, C. (2018) · Updates in hypertension and cardiovascular protection · doi:10.1007/978-3-319-59918-2_24
Come gestire l'ipertensione arteriosa in emodialisi?
Cavalli, A., & Pontoriero, G. (2015) · Giornale di Clinica Nefrologica e Dialisi · doi:10.33393/gcnd.2015.788
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Kanagasundaram, N. S. (2014) · Springer eBooks · doi:10.1007/978-1-4471-5547-8_61
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Metadata
- Authors
- Agarwal, R., Andersen, M. J., Bishu, K., & Saha, C.
- Affiliations
- Richard L. Roudebush VA Medical Center (US)
- Indiana University Indianapolis (US)
- Corresponding author
- Agarwal, R.
- ORCID
- Venue
- Kidney International
- Publisher
- Elsevier BV
- Published
- 2006-03
- Volume
- 69
- Issue
- 5
- Pages
- 900-906
- ISSN
- 0085-2538 (ISSN-L)
- OpenAlex
- W1963876316
- Cited by
- 175
- References
- 24
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 5 · 2023: 10 · 2022: 8 · 2021: 7 · 2020: 8 · 2019: 9 · 2018: 5 · 2017: 7 · 2016: 12 · 2015: 7 · 2014: 7 · 2013: 7 · 2012: 14
- FWCI
- 8.33
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Kidney International (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Dialysis Clinics
- National Institutes of Health (5t32dk062711-05)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK062030, 5T32DK062711-02)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Keywords
- home blood pressure monitoring, hypertension diagnosis, hemodialysis patients, ambulatory blood pressure monitoring, systolic hypertension, isolated diastolic hypertension, blood pressure thresholds, Black patients
- MeSH terms
- Adult, Aged, Blood Pressure Determination, Female, Renal Dialysis, Humans, Hypertension, Male, Middle Aged, Sensitivity and Specificity, Blood Pressure Monitoring, Ambulatory
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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