ABSTRACT
Background and aims: Chronic Kidney Disease (CKD) And Hypertension(HTN) AreAssociated With Each Other Invariably And Each Can Cause Or Aggravate TheOther.Hypertension Is A Strong Independent Risk Factor For ESRD And Contributes To TheDisease Itself, Or Most Commonly, To Its Progression.24 Hour Ambulatory Blood PressureMonitoring (ABPM) Is Superior To Clinic BP Monitoring In Predicting The Risk InHypertensive CKD Patients The Aim Of This Study Was To Review The Results OfABPM In CKD Patients Which Can Guide In Changing The Antihypertensive Therapy .Material and Methods: This Prospective Observational Study Having 63 Patients. All ThePatients Fulfilling The Criteria Of CKD According To The KDIGO Guidelines And Above18 Years Of Age Were Included In This Study Whose 24 Hour Ambulatory BloodPressure Was Measured.Detailed History, Clinical Examination And RelevantInvestigations Were Recorded Comparisons Of Various ABPM Characteristics WEREDone And P Value <0.005 Was Considered Significant.Results: Out Of 63 Patients (M:38,F:25)Maximum Patients (25.39%)Were In Age Group61-70 Years (M:61-70,F:41-45).51(80.95%)Patients Were On Dialysis And 12(19.04%)Patients Were Not On Dialysis. In This Study 57 Patients Had Hypertension,44 Had DM,16 Had IHD.In This Study 2(3.17%) Patients Were CKD Stage I,5(7.93%) WereStage II,1(1.58%) Was Stage lll, 6(9.52%) Were Stage IV And 49 (77.77%) Were Stage V.Out OfTotal 16(25.39%) Patients Were Dippers ,21 (33.33%) Were Non Dippers, 21(33.33%) WereReverse Dippers And 5 (7.93%) Were Extreme Dippers..Mean ABPM Systolic BP ,MeanABPM Diastolic BP,Mean PTA Systolic BP,Mean Arterial Pressure Were SignificantlyHigher In Male Patients which were On Dialysis Than Patient Not On Dialysis.Conclusion: ABPM is Superior Than Clinical Bp Monitoring In Predicting The FutureCommunications In CKD Patients Especially PTE,HBI MAP And Other Parameter To Guide ToFormulate Treatment Protocol Identifying Such Patients Of Hypertension In Earlier Stages OfCKD,Helped In Morbidity Outcomes While Identifying In Later Stages Of CKD Helped In MortalityBenefits.