Diurnal Variation of Blood Pressure and Arterial Stiffness in Chronic Kidney Disease
DOI:
https://doi.org/10.37275/bsm.v7i11.890Keywords:
Arterial stiffness, Blood pressure variations, Chronic kidney disease, HypertensionAbstract
Hypertension and chronic kidney disease (CKD) are interrelated public health problems throughout the world. Hypertension accompanied by CKD is mostly difficult to control. Difficulty in controlling blood pressure (BP) is known from changes in the diurnal variation of BP over 24 hours in CKD patients with a pattern of non-dipping and reverse dipping at night and an increase in pulse pressure due to arterial stiffness that occurs in CKD, resulting in a high incidence of nocturnal hypertension and masked hypertension. Nocturnal hypertension in CKD has a significant prognostic risk of increased risk of cardiovascular disease and cause of death. Therefore, guidelines for the management of hypertension strongly recommend that patients with hypertension have blood pressure well controlled at all times, especially to improve hypertension control at night in CKD patients.
Authors
- Kgs M Yusuf Arief Akbar1*
- Novadian Suhaimi1
- Zulkhair Ali1
- Suprapti Slamet1
- Ian Effendi1
- Syahpri Putra Wangsa1
- Deddy Primadona Mulia1
- 1Division of Nephrology and Hypertension, Department of Internal Medicine, Faculty of Medicine, Universitas Sriwijaya/Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia
Corresponding author Kgs M Yusuf Arief Akbar — kgs.myusufariefakbar@yahoo.com
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