Diurnal Blood Pressure Profiles and Hypertension-Mediated Organ Damage in Early Stages of Chronic Kidney Disease Article Swipe
Agnieszka Pluta
,
Paweł Stróżecki
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/life15121796
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/life15121796
Introduction: Chronic kidney disease (CKD) is associated with a high risk of cardiovascular complications and mortality. This study aimed to assess the relationship between the diurnal blood pressure (BP) profile, progression of CKD, and hypertension-mediated organ damage (HMOD) in patients with CKD stages 1–3 during a 6-month observation period. Methods: Eighty-seven patients with CKD stages 1–3 underwent 24 h ambulatory blood pressure monitoring (ABPM), echocardiography, carotid intima-media thickness (IMT) assessment, and aortic pulse wave velocity (PWV) measurement at baseline and after 6 months. Serum creatinine and the estimated glomerular filtration rate (eGFR) were evaluated using the CKD-EPI formula. Results: Based on ABPM, patients were classified as dippers/extreme dippers (D/ED, 35.6%), non-dippers (ND, 47.2%), and reverse dippers (RD, 17.2%). At follow-up, the RD group showed a significant decline in the eGFR and a lower left ventricular ejection fraction compared to D/ED. IMT values were consistently higher in RD than in D/ED at baseline and follow-up. No significant differences in PWV were observed. Conclusions: An abnormal diurnal BP profile is common in patients with CKD stages 1–3. The “reverse dipper” profile is associated with faster CKD progression, more advanced vascular remodeling, and reduced left ventricular function. The results of our study support the role of ABPM as a useful tool in assessing risk in the early stages of CKD, providing additional prognostic information beyond office blood pressure measurements. Limitations: The relatively small sample size, short follow-up period, lack of detailed data on treatment modifications, and absence of orthostatic BP assessment may limit the interpretation and generalizability of the results.
Related Topics
Concepts
Medicine
Kidney disease
Ambulatory blood pressure
Blood pressure
Cardiology
Internal medicine
Renal function
Pulse pressure
Pulse wave velocity
Creatinine
Ejection fraction
Arterial stiffness
End organ damage
Ambulatory
Dialysis
Orthostatic vital signs
Aortic pressure
Risk factor
Biomarker
Hemodynamics
Intravascular volume status
Kidney
Diastole
Heart failure
Intima-media thickness
Left ventricular hypertrophy
Albuminuria
Cystatin C
Diurnal temperature variation
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/life15121796
- OA Status
- gold
- References
- 24
- OpenAlex ID
- https://openalex.org/W7106511330
All OpenAlex metadata
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https://openalex.org/W7106511330Canonical identifier for this work in OpenAlex
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https://doi.org/10.3390/life15121796Digital Object Identifier
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Diurnal Blood Pressure Profiles and Hypertension-Mediated Organ Damage in Early Stages of Chronic Kidney DiseaseWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-11-24Full publication date if available
- Authors
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Agnieszka Pluta, Paweł StróżeckiList of authors in order
- Landing page
-
https://doi.org/10.3390/life15121796Publisher landing page
- Open access
-
YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://doi.org/10.3390/life15121796Direct OA link when available
- Concepts
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Medicine, Kidney disease, Ambulatory blood pressure, Blood pressure, Cardiology, Internal medicine, Renal function, Pulse pressure, Pulse wave velocity, Creatinine, Ejection fraction, Arterial stiffness, End organ damage, Ambulatory, Dialysis, Orthostatic vital signs, Aortic pressure, Risk factor, Biomarker, Hemodynamics, Intravascular volume status, Kidney, Diastole, Heart failure, Intima-media thickness, Left ventricular hypertrophy, Albuminuria, Cystatin C, Diurnal temperature variationTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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| publication_date | 2025-11-24 |
| publication_year | 2025 |
| referenced_works | https://openalex.org/W3005957464, https://openalex.org/W4220734654, https://openalex.org/W3156302015, https://openalex.org/W2923787619, https://openalex.org/W4381943587, https://openalex.org/W4381598483, https://openalex.org/W2922944198, https://openalex.org/W2949106139, https://openalex.org/W2966011904, https://openalex.org/W3088737372, https://openalex.org/W2994820282, https://openalex.org/W3108410692, https://openalex.org/W4327961116, https://openalex.org/W4384343100, https://openalex.org/W2155965977, https://openalex.org/W2096073058, https://openalex.org/W2042293234, https://openalex.org/W2063998910, https://openalex.org/W4282598096, https://openalex.org/W4390743629, https://openalex.org/W4365445818, https://openalex.org/W2800321711, https://openalex.org/W4399122743, https://openalex.org/W4390734207 |
| referenced_works_count | 24 |
| abstract_inverted_index.6 | 81 |
| abstract_inverted_index.a | 8, 45, 124, 131, 205 |
| abstract_inverted_index.h | 58 |
| abstract_inverted_index.24 | 57 |
| abstract_inverted_index.An | 162 |
| abstract_inverted_index.At | 118 |
| abstract_inverted_index.BP | 165, 246 |
| abstract_inverted_index.No | 154 |
| abstract_inverted_index.RD | 121, 146 |
| abstract_inverted_index.as | 105, 204 |
| abstract_inverted_index.at | 77, 150 |
| abstract_inverted_index.in | 38, 127, 145, 148, 157, 169, 208, 211 |
| abstract_inverted_index.is | 5, 167, 179 |
| abstract_inverted_index.of | 11, 31, 196, 202, 215, 236, 244, 254 |
| abstract_inverted_index.on | 100, 239 |
| abstract_inverted_index.to | 19, 138 |
| abstract_inverted_index.CKD | 41, 53, 172, 183 |
| abstract_inverted_index.IMT | 140 |
| abstract_inverted_index.PWV | 158 |
| abstract_inverted_index.The | 175, 194, 227 |
| abstract_inverted_index.and | 14, 33, 70, 79, 85, 113, 130, 152, 189, 242, 252 |
| abstract_inverted_index.may | 248 |
| abstract_inverted_index.our | 197 |
| abstract_inverted_index.the | 21, 24, 86, 95, 120, 128, 200, 212, 250, 255 |
| abstract_inverted_index.(BP) | 28 |
| abstract_inverted_index.(ND, | 111 |
| abstract_inverted_index.(RD, | 116 |
| abstract_inverted_index.ABPM | 203 |
| abstract_inverted_index.CKD, | 32, 216 |
| abstract_inverted_index.D/ED | 149 |
| abstract_inverted_index.This | 16 |
| abstract_inverted_index.data | 238 |
| abstract_inverted_index.eGFR | 129 |
| abstract_inverted_index.high | 9 |
| abstract_inverted_index.lack | 235 |
| abstract_inverted_index.left | 133, 191 |
| abstract_inverted_index.more | 185 |
| abstract_inverted_index.rate | 90 |
| abstract_inverted_index.risk | 10, 210 |
| abstract_inverted_index.role | 201 |
| abstract_inverted_index.than | 147 |
| abstract_inverted_index.tool | 207 |
| abstract_inverted_index.wave | 73 |
| abstract_inverted_index.were | 92, 103, 142, 159 |
| abstract_inverted_index.with | 7, 40, 52, 171, 181 |
| abstract_inverted_index.(CKD) | 4 |
| abstract_inverted_index.(IMT) | 68 |
| abstract_inverted_index.(PWV) | 75 |
| abstract_inverted_index.1–3 | 43, 55 |
| abstract_inverted_index.ABPM, | 101 |
| abstract_inverted_index.Based | 99 |
| abstract_inverted_index.D/ED. | 139 |
| abstract_inverted_index.Serum | 83 |
| abstract_inverted_index.after | 80 |
| abstract_inverted_index.aimed | 18 |
| abstract_inverted_index.blood | 26, 60, 223 |
| abstract_inverted_index.early | 213 |
| abstract_inverted_index.group | 122 |
| abstract_inverted_index.limit | 249 |
| abstract_inverted_index.lower | 132 |
| abstract_inverted_index.organ | 35 |
| abstract_inverted_index.pulse | 72 |
| abstract_inverted_index.short | 232 |
| abstract_inverted_index.size, | 231 |
| abstract_inverted_index.small | 229 |
| abstract_inverted_index.study | 17, 198 |
| abstract_inverted_index.using | 94 |
| abstract_inverted_index.(D/ED, | 108 |
| abstract_inverted_index.(HMOD) | 37 |
| abstract_inverted_index.(eGFR) | 91 |
| abstract_inverted_index.1–3. | 174 |
| abstract_inverted_index.aortic | 71 |
| abstract_inverted_index.assess | 20 |
| abstract_inverted_index.beyond | 221 |
| abstract_inverted_index.common | 168 |
| abstract_inverted_index.damage | 36 |
| abstract_inverted_index.during | 44 |
| abstract_inverted_index.faster | 182 |
| abstract_inverted_index.higher | 144 |
| abstract_inverted_index.kidney | 2 |
| abstract_inverted_index.office | 222 |
| abstract_inverted_index.sample | 230 |
| abstract_inverted_index.showed | 123 |
| abstract_inverted_index.stages | 42, 54, 173, 214 |
| abstract_inverted_index.useful | 206 |
| abstract_inverted_index.values | 141 |
| abstract_inverted_index.(ABPM), | 63 |
| abstract_inverted_index.17.2%). | 117 |
| abstract_inverted_index.35.6%), | 109 |
| abstract_inverted_index.47.2%), | 112 |
| abstract_inverted_index.6-month | 46 |
| abstract_inverted_index.CKD-EPI | 96 |
| abstract_inverted_index.Chronic | 1 |
| abstract_inverted_index.absence | 243 |
| abstract_inverted_index.between | 23 |
| abstract_inverted_index.carotid | 65 |
| abstract_inverted_index.decline | 126 |
| abstract_inverted_index.dippers | 107, 115 |
| abstract_inverted_index.disease | 3 |
| abstract_inverted_index.diurnal | 25, 164 |
| abstract_inverted_index.months. | 82 |
| abstract_inverted_index.period, | 234 |
| abstract_inverted_index.period. | 48 |
| abstract_inverted_index.profile | 166, 178 |
| abstract_inverted_index.reduced | 190 |
| abstract_inverted_index.results | 195 |
| abstract_inverted_index.reverse | 114 |
| abstract_inverted_index.support | 199 |
| abstract_inverted_index.Methods: | 49 |
| abstract_inverted_index.Results: | 98 |
| abstract_inverted_index.abnormal | 163 |
| abstract_inverted_index.advanced | 186 |
| abstract_inverted_index.baseline | 78, 151 |
| abstract_inverted_index.compared | 137 |
| abstract_inverted_index.detailed | 237 |
| abstract_inverted_index.ejection | 135 |
| abstract_inverted_index.formula. | 97 |
| abstract_inverted_index.fraction | 136 |
| abstract_inverted_index.patients | 39, 51, 102, 170 |
| abstract_inverted_index.pressure | 27, 61, 224 |
| abstract_inverted_index.profile, | 29 |
| abstract_inverted_index.results. | 256 |
| abstract_inverted_index.vascular | 187 |
| abstract_inverted_index.velocity | 74 |
| abstract_inverted_index.assessing | 209 |
| abstract_inverted_index.dipper” | 177 |
| abstract_inverted_index.estimated | 87 |
| abstract_inverted_index.evaluated | 93 |
| abstract_inverted_index.follow-up | 233 |
| abstract_inverted_index.function. | 193 |
| abstract_inverted_index.observed. | 160 |
| abstract_inverted_index.providing | 217 |
| abstract_inverted_index.thickness | 67 |
| abstract_inverted_index.treatment | 240 |
| abstract_inverted_index.underwent | 56 |
| abstract_inverted_index.additional | 218 |
| abstract_inverted_index.ambulatory | 59 |
| abstract_inverted_index.assessment | 247 |
| abstract_inverted_index.associated | 6, 180 |
| abstract_inverted_index.classified | 104 |
| abstract_inverted_index.creatinine | 84 |
| abstract_inverted_index.filtration | 89 |
| abstract_inverted_index.follow-up, | 119 |
| abstract_inverted_index.follow-up. | 153 |
| abstract_inverted_index.glomerular | 88 |
| abstract_inverted_index.monitoring | 62 |
| abstract_inverted_index.mortality. | 15 |
| abstract_inverted_index.prognostic | 219 |
| abstract_inverted_index.relatively | 228 |
| abstract_inverted_index.“reverse | 176 |
| abstract_inverted_index.assessment, | 69 |
| abstract_inverted_index.differences | 156 |
| abstract_inverted_index.information | 220 |
| abstract_inverted_index.measurement | 76 |
| abstract_inverted_index.non-dippers | 110 |
| abstract_inverted_index.observation | 47 |
| abstract_inverted_index.orthostatic | 245 |
| abstract_inverted_index.progression | 30 |
| abstract_inverted_index.remodeling, | 188 |
| abstract_inverted_index.significant | 125, 155 |
| abstract_inverted_index.ventricular | 134, 192 |
| abstract_inverted_index.Conclusions: | 161 |
| abstract_inverted_index.Eighty-seven | 50 |
| abstract_inverted_index.Limitations: | 226 |
| abstract_inverted_index.consistently | 143 |
| abstract_inverted_index.intima-media | 66 |
| abstract_inverted_index.progression, | 184 |
| abstract_inverted_index.relationship | 22 |
| abstract_inverted_index.Introduction: | 0 |
| abstract_inverted_index.complications | 13 |
| abstract_inverted_index.measurements. | 225 |
| abstract_inverted_index.cardiovascular | 12 |
| abstract_inverted_index.interpretation | 251 |
| abstract_inverted_index.modifications, | 241 |
| abstract_inverted_index.dippers/extreme | 106 |
| abstract_inverted_index.generalizability | 253 |
| abstract_inverted_index.echocardiography, | 64 |
| abstract_inverted_index.hypertension-mediated | 34 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 2 |
| citation_normalized_percentile.value | 0.79591366 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |