P222 PREDICTOR FACTORS OF UNCONTROLLED MASKED HYPERTENSION IN PATIENTS WITH HYPERTENSION WITH CHRONIC KIDNEY DISEASE

• DOI: 10.1097/01.hjh.0001063760.55595.c2
• Publication Date: 2024-09-18T09:29:52Z
• Authors: Roberto Santos; Gabriel Fernandes...; Luciano F. Drager; Andrea Pio-Abreu
• Keywords: Masked Hypertension

Background and Objective: Masked uncontrolled hypertension (MUCH) is commonly observed in patients with who are normotensive the clinic. MUCH associated increased risk for target- organ damage adverse cardiovascular renal outcomes high-risk patients, such as those chronic kidney disease (CKD). The objective of this study was to evaluate predictors CKD. Methods: This cross-sectional that performed 24-hour ambulatory blood pressure (BP) monitoring (ABPM) 220 CKD (glomerular filtration rate <60 mL/min/1.73 m2) controlled BP office (<140/90 mmHg). We categorized participants into two groups: 1) group (24-hour ABPM <130/80 mmHg), 2) ≥130/80 Epidemiological, clinical, anthropometric variables laboratory data were collected compared between groups. used logistic-regression models identify MUCH. Results: Approximately half (n=109, 49.6%) had Higher values classified BP, both systolic (127 vs 125 mmHg, p=0.06) diastolic (75 72 p=0.01). When analyzing variables, a higher body mass index (BMI) noted (26 28 kg/m2, p<0.01). Regarding data, levels urine albumin-creatinine ratio (uACR) (275 69 mg/g, In logistic regression model, significant: 75 89 mmHg (OR: 1.93, 95%CI 1.03-3.64; p=0.04), BMI <25Kg/m2 2.21, 1.08-4.52; p=0.03) uACR greater than 300 mg/g 3.26, 1, 71-6.19; Conclusion: at office, <25 kg/m2 >300 predictive factors