YASEMİN COŞKUN YAVUZ, ZEYNEP BIYIK, GÜLPERİ ÇELİK, LÜTFULLAH ALTINTEPE

Office Blood Pressure-Ambulatory Blood Pressure Correlation in Chronic Renal Disease; The Relationship Between Proteinuria- GFR Loss

INTRODUCTION: Hypertension is a serious risk factor in the progression of chronic kidney disease(CKD), as well as in nonrenal morbidity and mortality. The correct measurement of blood pressure, therefore, is important. In this study, it was aimed to compare the office blood pressure(OBPM) and ambulatory blood pressure monitoring(ABPM) measurements in patients with and without CKD with renal complications and other data. METHODS: 163 patients who were followed up in the our outpatient clinic in the recent year, and who underwent ABPM were included in the study. 61 (37.4%) were in the pre-dialysis CKD group and 102(62.6%) were in the hypertensive group without CKD. Patients' ABPM results and the average of the last 3 measurements in the outpatient clinic(OBPM) were screened. Correlation between ABPM and OBPM, as well as the correlation between other data. OBPM-ABPM measurements in patients with and without CKD and their relation with demographic and laboratory data were compared. RESULTS: OBPM measurements were found to be significantly higher than ABPM measurements. The mean systolic and diastolic BP values were 147/89 mmHg in OBPM and 127/80 mmHg in ABPM(p

Kronik Böbrek Hastalığında Ofis Kan Basıncı-Ambulatuvar Kan Basıncı Korelasyonu; Proteinüri-GFR Kaybıyla İlişkisi

GİRİŞ ve AMAÇ: Hipertansiyon, kronik böbrek hastalığı (KBH)’nın progresyonu ve ayrıca böbrek dışı morbidite ve mortalitede ciddi bir risk faktörüdür. Kan basıncının doğru ölçümü bu nedenle önemlidir. Bu çalışmada KBH olan ve olmayan hastalarda poliklinik kan basıncı ve ambulatuvar kan basıncı monitoziasyon (AKBM) ölçümlerinin, renal komplikasyonlar, kan basıncı paternleri ve diğer klinik ve labaratuvar verileri ile karşılaştırılarak incelenmesi amaçlanmıştır. YÖNTEM ve GEREÇLER: Çalışmaya son 1 yıl içinde Selçuk Üniversitesi Tıp Fakültesi Nefroloji polikliniğinde takip edilen ve AKBM yapılan 163 hasta dahil edildi. Bu hastaların 61’i(%37,4) prediyaliz KBH, 102 (%62,6) ’i KBH tanısı olmayan hipertansif grupta idi. Hastaların AKBM sonuçları ve poliklinikte yapılan son 3 ölçümlerinin (ofis kan basıncı=OKBM) ortalaması tarandı. ABKM- OKBM arasındaki korelasyon, ayrıca bu iki ölçüm yöntemi ile klinik ve laboratuar verileri arasındaki korelasyon değerlendirildi. KBH olan ve olmayan grupta OKBM-AKBM ölçümleri, bu ölçümlerin demografik ve laboratuar verileri ile ilişkisi karşılaştırıldı. BULGULAR: Ofis kan basıncı ölçümleri, ambulatuar kan basıncı ölçümlerinden anlamlı olarak yüksek bulundu. Sistolik ve diastolik KB ortalamaları OKBM’da 147/89 mmHg, AKBM’da ise 127/ 80 mmHg idi (p

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