NDLI: Relationship among Left Ventricular Hypertrophy, Cardiovascular Events, and Preferred Blood Pressure Measurement Timing in Hemodialysis Patients

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Relationship among Left Ventricular Hypertrophy, Cardiovascular Events, and Preferred Blood Pressure Measurement Timing in Hemodialysis Patients

Content Provider	MDPI
Author	Io, Hiroaki Nakata, Junichiro Inoshita, Hiroyuki Ishizaka, Masanori Tomino, Yasuhiko Suzuki, Yusuke
Copyright Year	2020
Description	This study aimed to identify the ideal timing and setting for measuring blood pressure (BP) and determine whether the left ventricular mass index (LVMI) is an independent risk factor associated with increased cardiovascular events in hemodialysis (HD) patients. BP and LVMI were measured at baseline and at 6 and 12 months after HD initiation. BP was monitored and recorded at nine different time points, including before and after HD over a one-week period (HDBP). The mean BP measurement was calculated as the weekly averaged BP (WABP). LVMI was significantly correlated with home BP, in-office BP, HDBP, and WABP. Receiver operating characteristic analysis indicated that the cutoff LVMI value for cardiovascular events was 156 g/m2. LVMI and diabetes mellitus were significant influencing factors for cardiovascular events (hazards ratio (95% confidence interval): diabetes mellitus, 2.84 (1.17,7.45); LVMI > 156 g/m2, 2.86 (1.22,6.99)). Pre-HDBP, post-HDBP, and WABP were independently associated with higher LVMI in the follow-up periods. Hemoglobin and human atrial natriuretic peptide (hANP) levels were associated with LVMI beyond 12 months after HD initiation. Treatment of hypertension, overhydration based on hANP, and anemia may reduce the progression of LVMI and help identify HD patients at high risk for cardiovascular events.
Starting Page	3512
e-ISSN	20770383
DOI	10.3390/jcm9113512
Journal	Journal of clinical medicine
Issue Number	11
Volume Number	9
Language	English
Publisher	MDPI
Publisher Date	2020-10-30
Access Restriction	Open
Subject Keyword	Journal of clinical medicine Journal of Clinical Medicine Cardiology and Cardiovascular Diseases Peripheral Vascular Disease Left Ventricular Hypertrophy Left Ventricular Mass Index Hemodialysis Blood Pressure Cardiovascular Events Risk Factor
Content Type	Text
Resource Type	Article

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