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Roshini Claire Anthony, 11 Dec 2020

Treatment with the nonsteroidal, selective mineralocorticoid receptor antagonist finerenone reduced chronic kidney disease (CKD) progression and cardiovascular (CV) event risk in patients with CKD and type 2 diabetes (T2D), according to the FIDELIO-DKD* study presented at ASN Kidney Week 2020.

Stephen Padilla, 22 Jun 2020
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How to measure BP: on a bare arm, over a sleeve, or below a rolled-up sleeve?

10 Sep 2020

Blood pressure (BP) measurement over a thin sleeve in the office appears to have no significant effect on recorded values, but BP measurement over a thick sleeve may result in a small overestimation, a study has found. Moreover, measuring BP over a thin sleeve must be preferred to rolling it up.

“Several guidelines call for BP measurement on a bare arm, which is not always easy,” the investigators said. “This systematic review aims to synthesize existing evidence concerning the effect of a sleeve on BP measurement.”

The databases of PubMed and Embase were searched for cross-sectional studies comparing BP values measured on a bare arm, over a sleeve, or below a rolled-up sleeve. Then, available data were used to carry out a meta-analysis.

Of the 13 studies selected from 720 references, 12 compared measurements on a bare arm and on a sleeve, four performed measurements below a rolled-up sleeve, with heterogeneous sleeve types and thicknesses. All studies reported BP values.

A high risk of bias was noted in most studies. Three studies had a small overestimation of BP measured over a sleeve, while the other 10 did not find statistically significant differences between measurements.

In meta-analysis, a nonsignificant 0.55-mm Hg (95 percent confidence interval [CI], –0.11 to 1.30; p=0.10) overestimation of systolic (S)BP was observed over a sleeve when the thinnest sleeve was considered for studies that investigated various thickness.

Additionally, there was a nonsignificant 1.10-mm Hg (95 percent CI, –0.21 to 2.40; p=0.10) overestimation of SBP when the thickest sleeve was considered and a nonsignificant 2.76-mm Hg (95 percent CI, –0.96 to 6.47; p=0.15) overestimation of SBP measured below a rolled-up sleeve.

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Most Read Articles
Roshini Claire Anthony, 11 Dec 2020

Treatment with the nonsteroidal, selective mineralocorticoid receptor antagonist finerenone reduced chronic kidney disease (CKD) progression and cardiovascular (CV) event risk in patients with CKD and type 2 diabetes (T2D), according to the FIDELIO-DKD* study presented at ASN Kidney Week 2020.

Stephen Padilla, 22 Jun 2020
A dietary pattern (DP) characterized by high intakes of eggs, fish, milk, and other dairy products appears to confer protective benefits against incident cardiovascular disease (CVD) in women, reveals a study.