Baroreflex sensitivity and sympatho-vagal balance during intradialytic hypotensive episodes

Journal of Hypertension
Dan SapoznikovDvora Rubinger

Abstract

The role of the baroreflex function in the pathogenesis of hemodialysis-associated hypotension is controversial. Complex demodulation technique (CDM), providing continuous assessment of the amplitude of cardiovascular oscillation over time, is particularly suitable to assess dynamic changes in autonomic nervous system and baroreceptor sensitivity (BRS) during dialysis. In the present study, CDM was used to determine the effects of dialysis treatment on BRS and to characterize BRS changes during acute intradialytic hypotension. Continuous beat-to-beat blood pressure and interbeat intervals (IBIs) were monitored in 93 chronic patients without (n = 70) and with (n = 26) hypotension during 96 dialysis sessions. The amplitudes of SBP and DBP, IBIs, and BRS change in the low-frequency (around center frequency of 0.09 Hz) and high-frequency (around center frequency of 0.30 Hz) ranges were followed during the whole dialysis session. Hemodialysis treatment was associated with increased low-frequency BRS, especially in sessions without hypotension. Hypotensive episodes were associated with significant increases in both low-frequency BRS and high-frequency BRS, mainly in patients with severe hypotension. The magnitude of the increase in b...Continue Reading

References

Nov 11, 1992·The Journal of Clinical Investigation·R L ConverseR G Victor
Jan 10, 1993·The New England Journal of Medicine·R L ConverseR G Victor
Jan 1, 1991·American Journal of Nephrology·O Stojceva-TanevaL Stojkovski
Jan 1, 1990·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·A CapuanoV E Andreucci
Aug 1, 1995·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·G M DolsonH J Adrogué
May 1, 1994·Journal of the American Society of Nephrology : JASN·R BigazziV M Campese
Apr 23, 1999·The Journal of Biological Chemistry·D A MasonS B Liggett
Sep 29, 1999·International Journal of Cardiology·U GerhardtH Hohage
Dec 10, 1999·Journal of the American Society of Nephrology : JASN·M G BarnasH A Koomans
Jan 15, 2000·Journal of the American College of Cardiology·A YlitaloH V Huikuri
Jun 30, 2000·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·M A MungerE H Marshall
Mar 10, 2001·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·M GiordanoC Giordano
Jul 31, 2001·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·M SatoY Taguma
Sep 29, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·M J Smogorzewski
Dec 26, 2001·Journal of the American Society of Nephrology : JASN·Kirsten LeineweberOtto-Erich Brodde
Jan 16, 2002·Journal of Hypertension·Robert A AugustyniakRonald G Victor
Feb 13, 2002·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Matthias P Hörl, Walter H Hörl
Feb 19, 2002·Kidney International·Dominic S C RajRichard A Robbins
Dec 12, 2002·Journal of the American College of Cardiology·Tommaso GoriJohn D Parker
Mar 1, 2003·Acta Physiologica Scandinavica·T KaraV K Somers
Apr 26, 2003·American Journal of Physiology. Heart and Circulatory Physiology·Koji KashiharaKenji Sunagawa
Apr 30, 2003·Anesthesiology·Jason A Campagna, Christopher Carter
Nov 26, 2003·Journal of the American Society of Nephrology : JASN·Inge H H T KleinPeter J Blankestijn
Mar 9, 2004·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Francesco LocatelliUNKNOWN Accorde Programme
May 27, 2004·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Dvora RubingerDan Sapoznikov
Jun 26, 2004·Blood Purification·Shih-Yuan HungHsiao-Min Chung
Jul 15, 2004·Seminars in Dialysis·Michael Flanigan
Jan 28, 2005·Kidney International·Graeme EisenhoferJacques W M Lenders
Feb 19, 2005·Journal of Applied Physiology·Michele R NortonEmilia Bagiella
Apr 15, 2005·Journal of the American Society of Nephrology : JASN·Katrin KleinFranz Schaefer
May 5, 2005·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Johannes WoitzikFranz Schaefer

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Citations

Aug 10, 2012·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Paola Martínez-GarcíaOscar Infante
May 8, 2010·International Urology and Nephrology·Abed BayyaSigal Sviri
Jul 15, 2011·Medical & Biological Engineering & Computing·Dan Sapoznikov, Dvora Rubinger
Aug 24, 2012·Current Opinion in Nephrology and Hypertension·Rajiv Agarwal
Aug 2, 2011·Journal of the American Society of Nephrology : JASN·Tara I ChangGlenn M Chertow
May 31, 2012·Evidence-based Complementary and Alternative Medicine : ECAM·I-Ju ChenJi-Tseng Fang
May 1, 2013·Seminars in Dialysis·Dvora RubingerDan Sapoznikov
Jun 11, 2015·Stem Cells and Development·Sharon Del Bem Velloso de MoraisHelio Cesar Salgado
Jan 8, 2021·Critical Care : the Official Journal of the Critical Care Forum·Etienne MacedoRavindra L Mehta

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