Évaluation de la performance de la mesure conventionnelle et séquentielle de la pression artérielle en centre chez les patients en dialyse péritonéale à Dakar.

Moustapha Faye; Ndongo Modou; Lemrabott Ahmed Tall; Faye Maria; Keita Niakhaleen; Ba Bacary; Sy Abou; Ndiaye Babacar; Ka Elhadji Fary

doi:10.25796/bdd.v4i4.63483

Authors

Moustapha Faye Université Cheikh Anta Diop, CHU Aristide Le Dantec https://orcid.org/0000-0001-5321-9741
Ndongo Modou Service de Néphrologie du centre hospitalier et universitaire Aristide Le Dantec, Université Cheikh Anta Diop de Dakar. https://orcid.org/0000-0003-4597-7416
Lemrabott Ahmed Tall Service de Néphrologie du centre hospitalier et universitaire Aristide Le Dantec, Université Cheikh Anta Diop de Dakar. https://orcid.org/0000-0002-6431-846X
Faye Maria https://orcid.org/0000-0001-9838-5364
Keita Niakhaleen Service de Néphrologie du centre hospitalier et universitaire Aristide Le Dantec, Université Cheikh Anta Diop de Dakar. https://orcid.org/0000-0002-4879-5565
Ba Bacary Service de Néphrologie du centre hospitalier et universitaire Aristide Le Dantec, Université Cheikh Anta Diop de Dakar. https://orcid.org/0000-0002-7104-6730
Sy Abou Service de Néphrologie du centre hospitalier et universitaire Aristide Le Dantec, Université Cheikh Anta Diop de Dakar. https://orcid.org/0000-0001-5260-0997
Ndiaye Babacar Service de Néphrologie du centre hospitalier et universitaire Aristide Le Dantec, Université Cheikh Anta Diop de Dakar.
Ka Elhadji Fary Service de Néphrologie du centre hospitalier et universitaire Aristide Le Dantec, Université Cheikh Anta Diop de Dakar.

DOI:

https://doi.org/10.25796/bdd.v4i4.63483

Keywords:

Blood pressure sequential assessment, ABPM, peritoneal dialysis, Senegal

Abstract

Introduction: The aim of this study was to evaluate the performance of conventional (CBPM) and sequential (SBPM) blood pressure measurements in peritoneal dialysis (PD) patients using ambulatory blood pressure measurements (ABPM) as a reference. Patients and methods: Through a cross-sectional study including 17 patients followed in the PD unit of the Aristide Le Dantec Hospital, BP was measured by 3 methods: i) an automated measurement (OMRON M3 COMFORT^TM) performed by a health care staff called CBPM; ii) the average of 5 automated measurements in an isolated patient in a cubicle called SBPM; iii) 24-hour ABPM with the CONTEC^TM device (Germany). High blood pressure was considered when the BP was higher than 130/80 mmHg at the 24-hour ABPM. Results: The area under the curve (AUC) for systolic blood pressure (SBP) was similar (p=0.28) between SBPM [AUC, 0.933; 95% CI, 0.813 – 1.000] and CBPM [AUC, 0.900; 95% CI, 0.752 – 1.000]. Regarding diastolic blood pressure (DBP), SBPM [AUC, 0.858; 95% CI, 0.638 – 1.000] was similar (p=1) to CBPM [AUC, 0.917; 95% CI, 0.753 – 1.000]. On Bland-Altman analysis, CBPM overestimated SBP by 11.65 mmHg and DBP by 3.94 mmHg. SBPM overestimated SBP by 6.2 mmHg and DBP by 4.35 mmHg. Conclusion: SBPM and CBPM are efficient in the diagnosis of ambulatory hypertension in PD patients in Dakar.

References

Sarafidis PA, Persu A, Agarwal R, Burnier M, de Leeuw P, Ferro C, et al. Hypertension in dialysis patients: a consensus document by the European Renal and Cardiovascular Medicine (EURECA-m) working group of the European Renal Association - European Dialysis and Transplant Association (ERA-EDTA) and the Hypertension and the Kidney working group of the European Society of Hypertension (ESH). J Hypertens. avr 2017;35(4):657‑76.

Agarwal R, Nissenson AR, Batlle D, Coyne DW, Trout JR, Warnock DG. Prevalence, treatment, and control of hypertension in chronic hemodialysis patients in the United States. Am J Med. sept 2003;115(4):291‑7.

Vaios V, Georgianos PI, Liakopoulos V, Agarwal R. Assessment and Management of Hypertension among Patients on Peritoneal Dialysis. Clin J Am Soc Nephrol. 7 févr 2019;14(2):297‑305.

Denolle T, Asmar R, Boivin J-M, Girerd X, Le Jeune S, Vaisse B, et al. Recommandations sur la mesure de la pression artérielle. Consensus d’experts de la Société française d’hypertension artérielle, filiale de la Société française de cardiologie. La Presse Médicale. 2019 Nov;48(11):1319–28.

Niiranen TJ, Mäki J, Puukka P, Karanko H, Jula AM. Office, Home, and Ambulatory Blood Pressures as Predictors of Cardiovascular Risk. Hypertension. 2014 Aug;64(2):281–6.

Hansen TW, Li Y, Boggia J, Thijs L, Richart T, Staessen JA. Predictive Role of the Nighttime Blood Pressure. Hypertension. 2011 Jan;57(1):3–10.

Vaios V, Georgianos PI, Vareta G, Dounousi E, Dimitriadis C, Eleftheriadis T, et al. Clinic and Home Blood Pressure Monitoring for the Detection of Ambulatory Hypertension Among Patients on Peritoneal Dialysis. Hypertension. oct 2019;74(4):998‑1004.

O’Shaughnessy MM, Durcan M, Kinsella SM, Griffin MD, Reddan DN, Lappin DW. Blood pressure measurement in peritoneal dialysis: which method is best? Perit Dial Int. oct 2013;33(5):544‑51.

Roerecke M, Kaczorowski J, Myers MG. Comparing Automated Office Blood Pressure Readings With Other Methods of Blood Pressure Measurement for Identifying Patients With Possible Hypertension: A Systematic Review and Meta-analysis. JAMA Intern Med. 1 mars 2019;179(3):351‑62.

Wang AYM, Brimble KS, Brunier G, Holt SG, Jha V, Johnson DW, et al. ISPD Cardiovascular and Metabolic Guidelines in Adult Peritoneal Dialysis Patients Part II – Management of Various Cardiovascular Complications. Perit Dial Int. 1 juill 2015;35(4):388‑96.

Wang AYM, Brimble KS, Brunier G, Holt SG, Jha V, Johnson DW, et al. ISPD Cardiovascular and Metabolic Guidelines in Adult Peritoneal Dialysis Patients Part I - Assessment and Management of Various Cardiovascular Risk Factors. Perit Dial Int. août 2015;35(4):379‑87.

Evaluation of the performance of conventional and sequential in-center blood pressure measurement in peritoneal dialysis patients in Dakar.

Authors

DOI:

Keywords:

Abstract

References

Downloads

Published

How to Cite

Issue

Section

License

Language

Information

identifiants