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Interdialytic 24-Hours Ambulatory Blood Pressure versus Dialysis Unit Blood Pressure for the Diagnosis of Electrocardiographic-Left Ventricular Hypertrophy in chronic Hemodialysis Black Patients

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World Journal of cardiovascular Diseases 2019年第11期9卷 846-856页

作者： cédric kabemba ilunga Francois Bompeka Beka Lepira Jean Robert Rissassi Makulo Yves Lubenga Trésor Mvunzi Noel Utshudi Aliocha Nkodila Vieux Momeme Mokoli Ernest Kiswaya Sumaili Nazaire Mangani Nseka Eleuthère Vita Kintoki Division of Nephrology Department of Internal MedicineUniversity of Kinshasa HospitalKinshasathe Democratic Republic of the Congo Division of cardiology Department of Internal MedicineUniversity of Kinshasa HospitalKinshasathe Democratic Republic of the Congo centre medical cite des Aveugles KinshasaCongo

Background and Aim: In hemodialysis patients, 24-hours interdialytic ABPM better detects TOD than dialysis unit blood pressure. Therefore, the present study was aimed to assess the diagnostic performance of 24-hours ABPM vs. dialysis unit BPs for the diagnosis of EcG-LVH in steady state chronic hemodialysis black patients. Methods: From March 31 to September 30, 2018, interdialytic ABPM was performed after a mid-week hemodialysis session for 24 hours using a Spacelab 90207 ABPM monitor in the non-access arm in 45 stable chronic hemodialysis black patients (age ≥ 20 years, hemodialysis for at least 3 months and informed consent) attending 3 hemodialysis centers in Kinshasa. Ambulatory BP was recorded every 20 minutes during the day (6 AM to 10 PM) and every 30 minutes during the night (10 PM to 6 AM). EcG-LVH was defined using cornell product criteria. ROc curve method was used to assess the performance of dialysis unit BPs vs. interdialytic 24-hours ABPM in diagnosing EcG-LVH. P 0.05 defined the level of statistical significance. Results: Whatever the method of BP measurement, all the SBP values were related to EcG-LVH with similar AUc and overlapping 95% cI;however, they were not significantly different from each other. 24-hours interdialytic ambulatory SBP (AUc 0.748;95% cI 0.58 - 0.94) had the highest area under the curve. conclusion: The present study showed that although all the two BP measurement methods equally detected EcG-LVH, 24-hours ABPM tended to have the highest diagnostic performance.

关键词： 24-Hours ABPM Dialysis Unit BPs EcG-LVH Diagnostic Performance chronic Hemodialysis Black Africans

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