Can predialysis hypertension prevent intradialytic hypotension in hemodialysis patients?

Nephron. Clinical Practice
Atsushi TakedaNoriaki Matsui

Abstract

Intradialytic hypotension is the most common complication associated with hemodialysis, and its cause is multifactorial. However, the relationship between hypertension and intradialytic hypotension is not clear. We investigated the influence of predialysis blood pressure and antihypertensive drugs on intradialytic hypotension. Risk factors for intradialytic hypotension were analyzed in 111 patients undergoing regular hemodialysis treatment and had annual echocardiography performed. The correlation between the addition of antihypertensive medications and the incidence of intradialytic hypotensive episodes was studied in 21 hypertensive patients. Based on multivariate logistic regression analysis, diabetes (odds ratio OR 8.18, 95% confidence interval CI 1.47-45.5; p = 0.016), interdialytic weight gain (OR 2.45, 95% CI 1.24-4.82; p = 0.010), ejection fraction (OR 0.88, 95% CI 0.81-0.95; p = 0.001), and left ventricular volume (OR 0.97, 95% CI 0.94-0.99; p = 0.013) were determined as risk factors for intradialytic hypotension. However, there was no association between predialysis blood pressure and intradialytic hypotension. After additional antihypertensive medications, the predialysis blood pressure fell from 175/85 mm Hg to 154/...Continue Reading

References

Nov 11, 1992·The Journal of Clinical Investigation·R L ConverseR G Victor
Jan 1, 1990·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·C R Tomson
Apr 1, 1971·Circulation·J F PomboR O Russell
Nov 1, 1993·Journal of the American Society of Nephrology : JASN·J T Daugirdas
Aug 26, 1998·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·D K HathawayA O Gaber
Mar 10, 1999·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·M RahmanM C Smith
Mar 10, 1999·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·F K PortE W Young
Jul 8, 2000·Kidney International·B A CooperC A Pollock
Oct 17, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·M J Schreiber
Dec 1, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·R AgarwalB Becker
Feb 13, 2002·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Matthias P Hörl, Walter H Hörl
May 31, 2003·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Mark J Sarnak
Sep 12, 2003·The American Journal of Medicine·Rajiv AgarwalDavid G Warnock
Oct 9, 2003·Kidney International. Supplement·Allan J CollinsCharles A Herzog
Feb 8, 2005·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Atsushi TakedaNoriaki Matsui

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Citations

Oct 23, 2010·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Wesley Hayes, Daljit K Hothi
Nov 27, 2008·Kidney International·Elaine M Spalding, Nestor Velasco
Feb 13, 2008·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Su-Chen YangKuan-Yu Hung
Sep 1, 2015·Journal of the American Society of Hypertension : JASH·Ana RochaEva Xavier
Oct 11, 2012·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Hideki HirakataUNKNOWN Japanese Society for Dialysis Therapy
Apr 27, 2016·Seminars in Dialysis·Namrata Krishnan, Aldo J Peixoto
Mar 7, 2017·Seminars in Dialysis·Dana C Miskulin, Daniel E Weiner
Jul 1, 2017·Seminars in Dialysis·Jason A ChouAnna T Mathew
Feb 16, 2018·Journal of Clinical Nursing·Ulrich SteinwandelJohan Rosman
Nov 14, 2018·Seminars in Dialysis·Wendy McCallum, Mark J Sarnak
Jun 22, 2017·Clinical and Experimental Nephrology·Kenichi KonoTakashi Sato
Mar 15, 2008·Néphrologie & thérapeutique·P Simon

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