Enhancing accuracy and adherence in blood pressure monitoring in living kidney donation: implementing technologies to overcome challenges

Curr Opin Nephrol Hypertens. 2025 Nov 11. doi: 10.1097/MNH.0000000000001135. Online ahead of print.

ABSTRACT

PURPOSE OF REVIEW: Blood pressure (BP) monitoring is crucial to detect and manage postdonation hypertension early; however, obtaining accurate BP readings and regular BP monitoring remains challenging.

RECENT FINDINGS: While office BP (OBP) measurement is almost universal, implementing accurate OBP readings by utilizing automatic office BP (AOBP) can be challenging due to its time-consuming. Moreover, OBP cannot be performed regularly, especially in a telemedicine setting. Out-of-office BP (OOOBP) can overcome the challenges in obtaining accurate OBP readings and monitoring BP. While 24-h ambulatory BP monitoring remains the gold standard for diagnosing hypertension in living kidney donors (LKDs), its availability is limited. Since OOOBP relies on the patients' BP measurement technique, technologies can help facilitate and enable LKD to check their BP accurately and regularly, including self-measured BP monitoring (SMBPM) and automatic remote BP monitoring. Cuffless BP monitoring offers convenience to the patients; further validation is required. Utilizing technologies for BP measurement is a proposed intervention to increase adherence to BP measurement and monitoring.

SUMMARY: While several BP measurement modalities can provide accurate BP readings, some facilitate better accuracy, especially unattended BP measurements and should be implemented for BP monitoring to mitigate cardiovascular outcomes in LKD.

PMID:41211635 | DOI:10.1097/MNH.0000000000001135