What are the recommendations and guidelines for the use of Ambulatory BP Monitoring and self-monitoring in CKD patients?
Recommendations and guidelines for the use of ABPM and self-monitoring are accumulating in the hypertension literature (Table 4). There have been a limited number of studies conducted in CKD patients but data suggest that in CKD, high ABPM systolic pressures, and nocturnal non-dipping (i.e., the absence of a drop in BP during sleep) are associated with increased risks of mortality (as in other populations) and of decline in GFR or kidney failure.11,77,78 As has been found for non-CKD patients, office BP measurements are commonly overestimates (in the case of white-coat hypertension) or underestimates (in the case of masked hypertension) of usual BP when compared with ambulatory BP assessments.