%0 Journal Article
%T Interdialytic 24-Hours Ambulatory Blood Pressure versus Dialysis Unit Blood Pressure for the Diagnosis of Electrocardiographic-Left Ventricular Hypertrophy in Chronic Hemodialysis Black Patients
%A C¨¦dric Kabemba Ilunga
%A Fran£¿ois Bompeka Beka Lepira
%A Jean Robert Rissassi Makulo
%A Yves Lubenga
%A Tr¨¦sor Mvunzi
%A Noel Utshudi
%A Aliocha Nkodila
%A Vieux Momeme Mokoli
%A Ernest Kiswaya Sumaili
%A Nazaire Mangani Nseka
%A Eleuth¨¨re Vita Kintoki
%J World Journal of Cardiovascular Diseases
%P 846-856
%@ 2164-5337
%D 2019
%I Scientific Research Publishing
%R 10.4236/wjcd.2019.911075
%X 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 ¡İ 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%