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• W2614213317 abstract "Background: There is a marked diurnal variation in blood pressure (BP). Compared with daytime values, BP in most subjects is considerably lower during the night and a ‘non-dipping BP profile’ is usually defined as a nocturnal SBP fall of less than 10%. Association between non-dipper pattern of circadian rhythm of BP and impaired renal capacity was observed in some studies. A circadian non-dipping pattern is often found in renal transplant recipients, and is related to poor allograft function. Materials and Method: In this analytic-cross sectional study, 24 hours ambulatory blood pressure monitoring (ABPM) was performed in 100 renal post-transplant patients, aged >18 years old, with the serum creatinine level <2 mg/dl after one month of transplant. According to the nocturnal reduction of systolic blood pressure (SBP), dipper (SBP ≥ 10%), non-dipper (0 < SBP < 10%) and reverse dipper (SBP nocturnal rise) pattern were defined. Result: Of 100 participants of this study, 56 patients (56%) were male, and 44 patients (44%) were female. Mean age of participants was 43.34 ± 2.442 years overall, 44.27 ± 2.974 years in males and 42.16 ± 4.074 years in females. Non-dipper pattern was found in 58 patients (58%), revers dipper pattern in 35 patients (35%) and dipper pattern was found only in 7 patients (7%). The nocturnal reduction of systolic blood pressure pattern in participants regarding the gender was not significant (p = 0.794). Mean age of patients with non-dipper pattern was significantly lesser than patients with revers dipper pattern (p = 0.009), but mean age of patients with dipper pattern was not significantly different from patients with non-dipper or revers dipper pattern (p = 0.368, p = 0.605). There was no significant correlation between dipper or non-dipper or revers dipper pattern with immunosuppressive drugs(cyclosporine, tacrolimus and non calcineurin inhibitors), duration of dialysis before transplant, and the time past transplant (p = 0.194, p = 0.252, and p = 0.392, respectively). Conclusion: The revers dipper pattern was seen more frequently in older patients than younger, and there was no significant correlation between dipper or non-dipper or revers dipper pattern with immunosuppressive drugs, duration of dialysis before transplant, and the time past transplant. Urology Research Center, Guilan University of Medical Sciences. References: 1) Obayashi K, Saeki K, Kurumatani N: Independent Associations Between Nocturia and Nighttime Blood Pressure/Dipping in Elderly Individuals: The HEIJO-KYO Cohort. J Am Geriatr Soc. 2015; 63(4):733-8. 2) Alstrup K, Graugaard-Jensen C, Rittig S, et al: Abnormal diurnal rhythm of urine output following renal transplantation: the impact of blood pressure and diuretics. Transplant Proc. 2010; 42(9):3529-36. 3) Ibernon M, Moreso F, Sarrias X, et al: Reverse dipper pattern of blood pressure at 3 months is associated with inflammation and outcome after renal transplantation. Nephrol Dial Transplant. 2012; 27(5):2089-95. 4) Wadei HM, Amer H, Taler SJ, et al: Diurnal Blood Pressure Changes One Year after Kidney Transplantation: Relationship to Allograft Function, Histology, and Resistive Index. J Am Soc Nephrol. 2007; 18(5):1607-15. 5) Graugaard-Jensen C, Rittig S, Djurhuus JC: Nocturia and Circadian Blood Pressure Profile in Healthy Elderly Male Volunteers. The Journal of Urology. 2006; 176(3):1034-9. 6) Steigerwalt SP, Brar N, Dhungel A, et al: Improved 24-hour blood pressure control with sirolimus versus calcineurin inhibitor based immunosuppression in renal transplant recipients. Transplant Proc. 2009; 41(10):4184-7. 7) van den Dorpel MA, van den Meiracker AH, Lameris TW, et al: Cyclosporin A impairs the nocturnal blood pressure fall in renal transplant recipients. Hypertension. 1996; 28(2):304-7. 8) Agarwal R, Light RP, Bills JE, Hummel LA: Nocturia, nocturnal activity, and nondipping. Hypertension. 2009; 54(3):646-51. 9) Bankir L1, Bochud M, Maillard M, et al: Nighttime Blood Pressure and Nocturnal Dipping Are Associated With Daytime Urinary Sodium Excretion in African Subjects. Hypertension. 2008; 51(4):891-8." @default.
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• W2614213317 date "2017-05-01" @default.
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• W2614213317 title "Nocturnal Dipping of Blood Pressure in Renal Transplant Recipients" @default.
• W2614213317 doi "https://doi.org/10.1097/01.tp.0000520383.22065.49" @default.
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