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Magnitude of the difference between clinic and ambulatory blood pressures and risk of adverse outcomes in patients with chronic kidney disease

Journal of the American Heart Association Apr 30, 2019

Ku E, et al. - Among 610 participants of the AASK (African American Study of Kidney Disease and Hypertension) Cohort Study, researchers assessed death and end-stage renal disease in relation to the absolute systolic blood pressure (BP) [SBP] difference between clinic and awake ambulatory BPs (primary predictor), by using Cox models. They found a U-shaped association between the magnitude of the difference between clinic and ambulatory SBP and mortality. In black patients with chronic kidney disease, a higher risk of mortality could be seen in relation to higher clinic vs ambulatory BPs (as in white-coat effect).
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