Jean-François De Plaen, MD
To the Editors: In his letter, Rosansky (1) reports evaluating the circadian rhythm of blood pressure in hypertensive patients receiving hemodialysis. He points out that in these patients, blood pressure did not decrease during the night, as it did in a control group of 50 hypertensive patients not receiving dialysis. Both groups were receiving antihypertensive medication. The author suggests that the lack of a normal nocturnal decline in blood pressure in dialyzed patients is related to abnormal renal function or to a condition associated with renal failure.
We recently explored the circadian rhythm of blood pressure in eight patients receiving
De Plaen J. Blood Pressure Rhythm. Ann Intern Med. ;114:914. doi: 10.7326/0003-4819-114-10-914_1
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Published: Ann Intern Med. 1991;114(10):914.
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