The majority of patients with chronic kidney disease (CKD) have elevated blood pressure (BP). In patients with CKD, hypertension is associated with increased risk for cardiovascular disease, progression of CKD, and all-cause mortality. New guidelines from the American College of Cardiology/American Heart Association (ACC/AHA) recommend new thresholds and targets for the diagnosis and treatment of hypertension in patients with and without CKD. A new aspect of the guidelines is the recommendation for measurement of out-of-office BP to confirm the diagnosis of hypertension and guide therapy. In this KDOQI (Kidney Disease Outcomes Quality Initiative) perspective, we review the recommendations for accurate BP measurement in the office, at home, and with ambulatory BP monitoring. Regardless of location, validated devices and appropriate cuff sizes should be used. In the clinic and at home, proper patient preparation and positioning are critical. Patients should receive information about the importance of BP measurement techniques and be encouraged to advocate for adherence to guideline recommendations. Implementing appropriate BP measurement in routine practice is feasible and should be incorporated in system-wide efforts to improve the care of patients with hypertension. Hypertension is the number 1 chronic disease risk factor in the world; BP measurements in the office, at home, and with ambulatory BP monitoring should adhere to recommendations from the AHA.

中文翻译：

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血压测量：KDOQI观点。

大多数患有慢性肾脏疾病（CKD）的患者血压升高（BP）。在患有CKD的患者中，高血压与心血管疾病，CKD的进展和全因死亡率增加相关。美国心脏病学会/美国心脏协会（ACC / AHA）的新指南为患有和不患有CKD的患者的高血压诊断和治疗提出了新的阈值和目标。指南的一个新方面是建议测量办公室外的BP，以确认高血压的诊断和指导治疗。从这种KDOQI（肾脏疾病结果质量计划）的角度，我们回顾了有关在办公室，家中以及通过动态BP监测进行准确BP测量的建议。不论地点在哪里 应使用经过验证的装置和合适的袖带尺寸。在诊所和家中，正确的患者准备和位置至关重要。患者应获得有关血压测量技术重要性的信息，并应鼓励患者坚持遵循指南建议。在常规实践中实施适当的血压测量是可行的，应将其纳入全系统的工作范围以改善高血压患者的护理。高血压是世界上排名第一的慢性疾病危险因素；在办公室，家中以及通过动态BP监测进行BP测量时，应遵守AHA的建议。患者应获得有关血压测量技术重要性的信息，并应鼓励患者坚持遵循指南建议。在常规实践中实施适当的血压测量是可行的，应将其纳入全系统的工作范围以改善高血压患者的护理。高血压是世界上排名第一的慢性疾病危险因素；在办公室，家中以及通过动态BP监测进行BP测量时，应遵守AHA的建议。患者应获得有关血压测量技术重要性的信息，并应鼓励患者坚持遵循指南建议。在常规实践中实施适当的血压测量是可行的，应将其纳入全系统的工作范围以改善高血压患者的护理。高血压是世界上排名第一的慢性疾病危险因素；在办公室，家中以及通过动态BP监测进行BP测量时，应遵守AHA的建议。