Suspected white coat hypertension 2. Resistant hypertension. 3. Hypotensive symptoms. 4. Episodic hypertension. 5. Autonomic dysfunction. 6. Worsening target organ damage in the face of “good” control 7. Sleep apnea syndrome. Results: Mean age in Group A: 51.8 ± 8.9; Group B: 49.7 ± 11.2 years. Both groups had high rate of uncontrolled BP (Group A-60%; Group B-73%). Nocturnal hypertension was seen in 43% patients in Group A and 50% in Group B. Group A had significantly Ibrutinib solubility dmso higher (p-0.02) incidence of white coat
hypertension (35%) as compared to Group B (23%). Early morning surge was found in 53% patients in Group A and 20% in Group B (p-0.005). Masked hypertension was also significantly higher (p-0.027) in Group A (30%) than Group B (10%). Conclusion: Routine screening of all CKD patients by 24 hour ABPM instead of selection by clinical indicators only, would improve Deforolimus nmr the detection of adverse BP markers especially White coat hypertension, early morning surge of BP and masked hypertension. This should improve outcomes in more CKD patients with better BP control, timing & dose adjustment of drugs, avoidance of unnecessary uptitration & untoward side effects of medications. This may prevent and postpone target organ damage in CKD patients. TSUDA KAZUSHI Cardiovascular Medicine, Cardiovascular and Metabolic Research Center, Kansai University
of Health Sciences Introduction: It is well recognized that chronic kidney disease (CKD) might be a major risk factor not only for end-stage renal diseases, but also for cardiovascular and cereborovascular diseases. Evidence indicates that both of decreased glomerular filtration rate (GFR) and increased urinary albumin excretion BCKDHB (UAE) might be
manifestations of target organ damage in hypertension, and be reliable markers for the outcomes of circulatory disorders. It was also demonstrated that low levels of UAE well below the current microalbuminuria threshold might predict the development of cardiovascular diseases. However, the precise relationship between of UAE and circulatory dysfunction in hypertension is not fully understood. On the other hand, recent studies have shown that abnormalities in physical properties of the cell membranes may underlie the defects that are strongly linked to hypertension and microcirculatory dysfunction. In the present study, we investigated possible relationship between CKD with albuminuria and membrane properties in hypertension. Subjects and Method: We examined membrane fluidity (a reciprocal value of membrane microviscosity) of red blood cells (RBCs) in hypertensive and normotensive subjects using an electron spin resonance (ESR) and spin labeling-method. Results: The order parameter (S) for the spin-label agent (5-nitroxide stearate) in ESR spectra of RBCs was significantly higher in hypertensive subjects than in normotensive subjects.