SPECIALIZED CLINIC | NEPHROLOGY AND DIALYSIS CLINIC

Diagnosis, study and treatment of arterial hypertension

In the nephrology department we offer the study of hypertension and assessment of the global cardiovascular risk by evaluating risk factors, presence of target organ injury (hypertensive heart disease via electrocardiographic and echocardiographic register, ankle-arm index), accurate evaluation of the renal function and albuminuria.

To study HBP we use outpatient techniques to measure arterial pressure:

Arterial Blood Pressure Monitoring (ABPM)

• This technique is extremely useful to diagnose HBP and the follow up of the patient during the treatment. It allows the automatic obtaining of arterial pressure (oscillometric method) during lasting periods (24 hours) with the possibility of calculating the average value on the activity period (day) and rest period (night), the circadian pacemaker of pressure, its increase when waking up in the morning, and how it varies during the day. Moreover, it can also help to discard the isolated clinic hypertension, also known as “white-coat hypertension” (patients who have high blood pressure when going to the specialist, but then it remains normal when at home), and avoid starting a hypertensive treatment they do not need.

• Arterial Blood Pressure Automeasurement (ABPA)

  It consists on measuring blood pressure outside the health field, usually done by the patient themselves or family. It is a very useful technique to diagnose HBP, to detect clinic HBP for monitoring and treating the hypertensive patient.